DECATUR VEIN CLINIC, PC (NPI# 1477669349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477669349 |
| Entity Type | Organization |
| Organization Name | DECATUR VEIN CLINIC, PC |
| Other Organization Name | DECATUR VEIN CLINIC |
| Practice Address |
4513 S 7th St Terre Haute IN 47802-4503 |
| Mailing Address |
8500 E 116th St #6093 Fishers IN 46038-0623 |
| Practice Telephone | 8122440444 |
| Practice Fax Number | 8888757721 |
| Mailing Telephone | 3172182807 |
| Mailing Fax Number | 8005913117 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2015-02-12 |
| Authorized Official Name | THOMAS M WHITTEN (CEO) |
| Authorized Official Telephone | 3172182807 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201128390D | 05 |
| Other Name | Type Code |
|---|---|
| Decatur Vein Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508973181 | Decatur Vein Clinic, PC | Phlebology | 3741 Rome Drive, Lafayette, IN 47905-4490 | 2006-08-23 |
| 1346671005 | Decatur Vein Clinic, PC | Phlebology | 323 Conrad Harcourt Way, Rushville, IN 46173-1161 | 2013-12-06 |
| 1962709709 | Decatur Vein Clinic, PC | Phlebology | 3901 Dutchmans Ln, Suite 202, Louisville, KY 40207-4722 | 2011-02-14 |
| 1629373436 | Decatur Vein Clinic, PC | Phlebology | 33 E County Line Rd, Suite D, Greenwood, IN 46143-1077 | 2011-01-26 |
| 1356646574 | Decatur Vein Clinic, PC | Phlebology | 105 S Raceway Rd, Suite 135, Indianapolis, IN 46231-1414 | 2011-01-19 |
| 1689851651 | Decatur Vein Clinic, PC | Phlebology | 14540 Prairie Lakes Blvd N, Suite 202, Noblesville, IN 46060-4366 | 2008-01-22 |
| 1649357500 | Decatur Vein Clinic, PC | Surgery | 645 W Carmel Dr, Suite 101, Carmel, IN 46032-2605 | 2006-10-31 |
| 1780790659 | Decatur Vein Clinic, PC | Surgery | 620 W Edison Rd, Suite 118, Mishawaka, IN 46545-2784 | 2006-08-22 |
| 1982710851 | Decatur Vein Clinic, PC | Phlebology | 7230 Engle Rd, Suite 101, Fort Wayne, IN 46804-2209 | 2006-08-22 |
| 1932215803 | Decatur Vein Clinic, PC | Phlebology | 6540 Logan Dr, Suite 2, Evansville, IN 47715-8238 | 2006-08-22 |
| Street Address |
4513 S 7TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| 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 |
|---|---|---|---|---|
| 1093983488 | Unity Healthcare, LLC | Phlebology | 985 S Creasy Ln, Lafayette, IN 47905-4800 | 2008-02-19 |
| 1508973181 | Decatur Vein Clinic, PC | Phlebology | 3741 Rome Drive, Lafayette, IN 47905-4490 | 2006-08-23 |
| 1639794597 | Region Vein | Phlebology | 931 Ridge Rd Ste C, Munster, IN 46321-1756 | 2020-06-16 |
| 1922429141 | Indiana Vascular Associates, LLC | Phlebology | 3920 St Francis Way, Suite 105, Lafayette, IN 47905-4917 | 2013-12-16 |
| 1346671005 | Decatur Vein Clinic, PC | Phlebology | 323 Conrad Harcourt Way, Rushville, IN 46173-1161 | 2013-12-06 |
| 1033468715 | Vein Clinic LLC | Phlebology | 3209 W Fullerton Pike, Suite G, Bloomington, IN 47403-4060 | 2012-09-10 |
| 1033466495 | Varicose Vein Treatment Center | Phlebology | 3209 W Fullerton Pike, Suite C, Bloomington, IN 47403-4060 | 2012-08-04 |
| 1629373436 | Decatur Vein Clinic, PC | Phlebology | 33 E County Line Rd, Suite D, Greenwood, IN 46143-1077 | 2011-01-26 |
| 1356646574 | Decatur Vein Clinic, PC | Phlebology | 105 S Raceway Rd, Suite 135, Indianapolis, IN 46231-1414 | 2011-01-19 |
| 1689851651 | Decatur Vein Clinic, PC | Phlebology | 14540 Prairie Lakes Blvd N, Suite 202, Noblesville, IN 46060-4366 | 2008-01-22 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
Please comment or provide details below to improve the information on DECATUR VEIN CLINIC, PC.
| 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.