SUSQUEHANNA VALLEY VEIN CENTER, LLC (NPI# 1437583879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437583879 |
| Entity Type | Organization |
| Organization Name | SUSQUEHANNA VALLEY VEIN CENTER, LLC |
| Practice Address |
1140 Sheridan St Williamsport PA 17701-3618 |
| Practice Telephone | 5703261100 |
| Practice Fax Number | 5703264500 |
| Mailing Telephone | 5703261100 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | DR. SUZAN A MCGARY (CEO) |
| Authorized Official Telephone | 5703261100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202K00000X | Phlebology | MD043543E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1140 SHERIDAN ST |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356322374 | Suzan Annette Mcgary | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1140 Sheridan St, Williamsport, PA 17701-3618 | 2005-11-08 |
| 1558530279 | Carl R Albright Dpm | Podiatrist | 1140 Sheridan St, Williamsport, PA 17701-3618 | 2008-02-27 |
| 1093850422 | West Branch Podiatric Associates | Podiatrist | 1140 Sheridan St, Williamsport, PA 17701-3618 | 2007-02-21 |
| 1386693836 | Carl Ray Albright | Podiatrist | 1140 Sheridan St, Williamsport, PA 17701-3618 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 202K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Phlebology |
| Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. |
| Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962067736 | Phoenix N Moore | Phlebology | 239 4th Ave Ste 1818, Pittsburgh, PA 15222-1716 | 2019-05-07 |
| 1982850533 | Pittsburgh Vein Center, LLC | Phlebology | 2550 Mosside Blvd, Suite 105, Monroeville, PA 15146-3540 | 2008-08-14 |
| 1508980277 | Hemorhoid Care, P.C. | Phlebology | 20397 Route 19, Suite 330, Cranberry Township, PA 16066-6133 | 2007-03-19 |
| 1134243108 | Vein Care Specialists, P.C. | Phlebology | 20826 Route 19, Cranberry Medical Arts Bldg II, Cranberry Township, PA 16066-6028 | 2007-03-16 |
| 1437273406 | Ann Kathleen Blakeley | Phlebology | 20826 Route 19, Cranberry Medical Arts Bldg II, Cranberry Township, PA 16066-6028 | 2007-03-16 |
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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| 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.