JOHN MAURIELLO (NPI# 1457324766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457324766 |
| Entity Type | Individual |
| Full Name | JOHN MAURIELLO |
| Credential | M.D. |
| Practice Address |
4106 W Lake Mary Blvd Suite 324 Lake Mary FL 32746-3315 |
| Practice Telephone | 4078928484 |
| Practice Fax Number | 4078928485 |
| Mailing Telephone | 4078928484 |
| Mailing Fax Number | 4078928485 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2008-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202K00000X | Phlebology | 95-00402 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
4106 W LAKE MARY BLVD SUITE 324 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979554 | Christopher C Mason | Podiatrist | 4106 W Lake Mary Blvd, 125, Lake Mary, FL 32746-3315 | 2005-08-18 |
| 1609346378 | Nicole Rodriguez | Nurse Practitioner | 4106 W Lake Mary Blvd, Lake Mary, FL 32746-3315 | 2018-11-26 |
| 1659681575 | Vikram P Mehta Md Pa | Surgery | 4106 W Lake Mary Blvd, Suite 224, Lake Mary, FL 32746-3315 | 2010-10-13 |
| 1194044107 | Christopher C. Mason, D.p.m., Pa | Durable Medical Equipment & Medical Supplies | 4106 W Lake Mary Blvd, Suite 125, Lake Mary, FL 32746-3315 | 2010-06-01 |
| 1063651131 | Nathan Christopher Deangelis | Surgery | 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746-3315 | 2009-02-13 |
| 1487801957 | Creighton D Fiscina | Surgery | 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746-3315 | 2008-08-26 |
| 1043480700 | Vein Help of Orlando | Phlebology | 4106 W Lake Mary Blvd, Ste 324, Lake Mary, FL 32746-3315 | 2008-03-09 |
| 1033387865 | Heathrow Internal Medicine LLC | Internal Medicine | 4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746-3315 | 2008-02-14 |
| 1396921995 | Vein Associates, P.a. | Phlebology | 4106 W Lake Mary Blvd, Suite 325, Lake Mary, FL 32746-3315 | 2008-01-14 |
| 1780870071 | Robin Rahm Md Pa | Surgery | 4106 W Lake Mary Blvd, Suite 213, Lake Mary, FL 32746-3315 | 2007-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
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| 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 |
|---|---|---|---|---|
| 1043480700 | Vein Help of Orlando | Phlebology | 4106 W Lake Mary Blvd, Ste 324, Lake Mary, FL 32746-3315 | 2008-03-09 |
| 1396921995 | Vein Associates, P.a. | Phlebology | 4106 W Lake Mary Blvd, Suite 325, Lake Mary, FL 32746-3315 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396356788 | Jose R Rodriguez | Phlebology | 330 W 9th St Ste 5, Hialeah, FL 33010-3865 | 2020-08-11 |
| 1518582790 | Kimberly Ann Harriman | Phlebology | 3574 Lei Dr, Sarasota, FL 34232-5559 | 2020-06-12 |
| 1164043758 | Jasmine Tashawn Williams | Phlebology | 1441 Manotak Ave Apt 1613, Jacksonville, FL 32210-1071 | 2020-05-05 |
| 1710519640 | Heather Danielle Basagoitia | Phlebology | 1345 Sw 30th St, Fort Lauderdale, FL 33315-2842 | 2020-02-09 |
| 1184180739 | Lumiere Cosmetic Vein Center P A | Phlebology | 2546 Heydon Ln Ste 2, Cape Coral, FL 33991-3550 | 2019-02-19 |
| 1043774003 | Edward G Mackay, Md and Associates, LLC | Phlebology | 2863 Alternate 19 North, Palm Harbor, FL 34683 | 2019-01-24 |
| 1174087290 | Healthtrust Medical Center Corp | Phlebology | 7801 Coral Way Ste 112, Miami, FL 33155-6538 | 2019-01-23 |
| 1922589068 | Cynetra Zollicoffer | Phlebology | 10208 Douglas Oaks Cir Apt 104, Tampa, FL 33610-8651 | 2018-08-27 |
| 1144729575 | Labs At Your Door LLC | Phlebology | 4612 N Hiatus Rd, Sunrise, FL 33351-7909 | 2018-02-12 |
| 1881972347 | Veincare of Brevard, LLC | Phlebology | 2712 Newfound Harbor Dr, Merritt Island, FL 32952-2866 | 2011-08-01 |
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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.