VEIN & COSMETIC CENTER OF PRATTVILLE, LLC (NPI# 1407298920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407298920 |
| Entity Type | Organization |
| Organization Name | VEIN & COSMETIC CENTER OF PRATTVILLE, LLC |
| Practice Address |
509 Pinnacle Pl Prattville AL 36066-6544 |
| Mailing Address |
700 Montgomery Hwy Suite 210 Vestavia AL 35216-1866 |
| Practice Telephone | 2058230151 |
| Practice Fax Number | 2058235218 |
| Mailing Telephone | 2058230150 |
| Mailing Fax Number | 2058235218 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | DR. JOHN R KINGSLEY (PRESIDENT & OWNER) |
| Authorized Official Telephone | 2058230151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
280663 | AL | Ambulatory Health Care Facilities |
| Street Address |
509 PINNACLE PL |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36066-6544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
| 1265805550 | Alabama Dental Professionals, PC | Dentist | 2489 Cobbs Ford Road, Prattville, AL 36066 | 2015-11-09 |
| 1407243645 | Drayer Physical Therapy-alabama, LLC | Physical Therapist | 2703 Legends Parkway, Prattville, AL 36066 | 2015-04-24 |
| 1225396203 | Kristin Taylor | Occupational Therapist | 635 Mcqueen Smith Road, Suite D, Prattville, AL 36066 | 2012-04-27 |
| 1164796959 | Glynwood Park Dental Care | Dentist | 1831 Glynwood Drive, Prattville, AL 36066 | 2012-02-27 |
| 1790068757 | Jason Duane Weaver | Physical Therapist | 1824 Glynwood Drive, Prattville, AL 36066 | 2011-09-26 |
| 1982931499 | Health Star Inc | Chiropractor | 2441 Cobbs Ford Road, Prattville, AL 36066 | 2009-11-05 |
| 1023101698 | Drs. Tatum and Walker, L.L.C. | Dentist | 597 South Memorial Drive, Prattville, AL 36066 | 2006-10-02 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1407860380 | Robert Allen Avery | Internal Medicine | 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066 | 2006-07-28 |
| Find all providers in zip 36066 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270492 | East Alabama Ambulatory Surgery Center, LLC | Clinic/Center | 900 Camp Road, Auburn, AL 36849-0001 | 2020-06-25 |
| 1962057497 | Clearway Surgery Center of Mobile | Clinic/Center | 855 Downtowner Blvd Ste A, Mobile, AL 36609-5403 | 2019-08-01 |
| 1225698681 | Affinity Gastroenterology Asc LLC | Clinic/Center | 3686 Grandview Pkwy Ste 610, Birmingham, AL 35243-3406 | 2019-06-18 |
| 1669031886 | Surgical Clinic Solutions, LLC | Clinic/Center | 1021 Montgomery Hwy, Vestavia Hills, AL 35216-2805 | 2019-06-11 |
| 1508360181 | Nephrology Vascular Lab of Central Alabama Asc LLC | Clinic/Center | 1280 Columbiana Rd Ste 120, Vestavia Hills, AL 35216-1642 | 2018-03-20 |
| 1699139915 | Cutaneous Oncology & Surgery Center, LLC | Clinic/Center | 1940 Stonegate Dr Ste 140, Vestavia Hls, AL 35242-2541 | 2016-04-12 |
| 1104202613 | Invision Ophthalmology P.C. | Clinic/Center | 1800 Mcfarland Blvd E Ste 337, Tuscaloosa, AL 35404-5882 | 2015-08-06 |
| 1972805299 | St. Vincent's Outpatient Surgery Services LLC | Clinic/Center | 810 Saint Vincent's Drive, Birmingham, AL 35205-1601 | 2010-11-18 |
| 1730318353 | Gardendale Surgical Associates, LLC | Clinic/Center | 2213 Decatur Highway, Gardendale, AL 35071-2301 | 2009-07-02 |
| 1336375930 | Jackson Surgery Center, LLC | Clinic/Center | 1725 Park Pl, Montgomery, AL 36106-1138 | 2009-06-09 |
| Find all providers with the same taxonomy | ||||
| City | PRATTVILLE |
| Zip Code | 36066 |
Please comment or provide details below to improve the information on VEIN & COSMETIC CENTER OF PRATTVILLE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.