VEIN CARE ASSOCIATES S.C.


Address: 215 Corporate Drive, Suite H, Beaver Dam, WI 53916-3124
Phone: 9208877731

VEIN CARE ASSOCIATES S.C. (NPI# 1467792457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467792457
Entity Type Organization
Organization Name VEIN CARE ASSOCIATES S.C.
Practice Address 215 Corporate Drive
Suite H
Beaver Dam
WI 53916-3124
Mailing Address 2801 Wayzata Blvd
Minneapolis
MN 55405-2125
Practice Telephone 9208877731
Practice Fax Number 8883895033
Mailing Telephone 8009558346
Mailing Fax Number 9529345728
Enumeration Date 2013-02-27
Last Update Date 2014-05-20
Authorized Official Name DR. SAMEER GUPTA (PRESIDENT CEO)
Authorized Official Telephone 8009558346
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
56238-020 WI Ambulatory Health Care Facilities

Office Location

Street Address 215 CORPORATE DRIVE
SUITE H
City BEAVER DAM
State WI
Zip Code 53916-3124

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1326471608 Raquel Rodriguez-guzman Pharmacist 205 La Crosse Street, Beaver Dam, WI 53916 2013-08-09
1558608828 Mary Y Kunz Licensed Practical Nurse 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 2013-01-07
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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1629498522 Asana Health & Wellness LLC Clinic/Center 2372 S Oneida St, Green Bay, WI 54304-5256 2014-04-18
1447532403 Lavender Lotus Acupuncture LLC Clinic/Center 130 Gregor St, Waterloo, WI 53594-1224 2011-09-15
1043501356 Steven Victor Bittorf Clinic/Center 2505 Parkwood Dr, Green Bay, WI 54304-1956 2011-04-21
1881927812 Gail A Weinand Clinic/Center 203 Schiek Plz, Rhinelander, WI 54501-3364 2009-09-09
1932368685 Center for Stomach & Intestinal Disorders Ltd Clinic/Center 2300 N Mayfair Rd Ste 725, Wauwatosa, WI 53226-1533 2008-06-07
1568641439 Daniel L. Gauerkei Dba Broadway Vision Center Clinic/Center 815 W Fulton St, Suite 103, Waupaca, WI 54981-1405 2007-10-29
1174723084 Bruns Chiropractic Office Sc Clinic/Center 1429 North Ave, Sheboygan, WI 53083-4760 2007-07-19
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Competitor

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City BEAVER DAM
Zip Code 53916

Improve Information

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Dataset Information

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.

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