SCOTTSDALE VEIN AND LASER CENTER LLC (NPI# 1649522848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649522848 |
Entity Type | Organization |
Organization Name | SCOTTSDALE VEIN AND LASER CENTER LLC |
Practice Address |
8600 E Via De Ventura Suite 103 Scottsdale AZ 85258-3323 |
Practice Telephone | 4804830409 |
Mailing Telephone | 4804830409 |
Enumeration Date | 2012-10-11 |
Last Update Date | 2012-10-11 |
Authorized Official Name | MRS. DEBORAH LUNDELL (OWNER) |
Authorized Official Telephone | 4804830208 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
12521 | AZ | Allopathic & Osteopathic Physicians |
Street Address |
8600 E VIA DE VENTURA SUITE 103 |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85258-3323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548254006 | Gregory M Crever | Family Medicine | 8600 E Via De Ventura, Ste 101, Scottsdale, AZ 85258-3323 | 2005-09-09 |
1548599541 | Scottsdale Sedation Management, Co. LLC | Clinic/Center | 8600 E Via De Ventura, Suite 202, Scottsdale, AZ 85258-3323 | 2009-12-22 |
1992968861 | Robert Barry Goldenberg | Dentist | 8600 E Via De Ventura, 202, Scottsdale, AZ 85258-3323 | 2008-07-09 |
1083896203 | Via De Ventura Dental Care LLC | Dentist | 8600 E Via De Ventura, Suite 202, Scottsdale, AZ 85258-3323 | 2007-11-29 |
1588754907 | Martin Broermann | Dentist | 8600 E Via De Ventura, Suite 203, Scottsdale, AZ 85258-3323 | 2006-10-14 |
1801844121 | Steven R Wilson Dds Ltd | Dentist | 8600 E Via De Ventura, #201, Scottsdale, AZ 85258 | 2006-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
1790396943 | Arielle Dawne Bohorquez | Registered Nurse | 10466 N 74th Street Suite 150, Scottsdale, AZ 85258 | 2020-08-12 |
1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
1649819475 | Therapy With Heart | Marriage & Family Therapist | 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 | 2019-12-26 |
1184190688 | Amy Marie Burke | Clinical Nurse Specialist | 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 | 2018-10-23 |
1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
1801378377 | Michelle Marie Kometh | Social Worker | 9449 N 90th St Suite 205, Scottsdale, AZ 85258 | 2018-08-31 |
1275028862 | Sarah Maria Goff | Dentist | 8390 E Via De Ventura Ste F200, Scottsdale, AZ 85258 | 2018-06-26 |
1508353582 | Brittany Rose Carey | Nurse Practitioner | Matrix Medical Network, 9201 E Mountain View Rd # 220, Scottsdale, AZ 85258 | 2018-04-16 |
1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
Find all providers in zip 85258 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790144889 | Scottsdale Healthcare Corporation | Surgery | 7301 E Osborn Rd., Suite 100, Scottsdale, AZ 85251 | 2016-02-17 |
1588061535 | Eugene Melvin Zweiback Md | Surgery | 7619 E Nogales Road, Scottsdale, AZ 85258 | 2014-11-19 |
1578833737 | Sydney Phillip Ross | Surgery | 7408 North Tombstone Road, Scottsdale, AZ 85258 | 2012-01-05 |
1962463471 | Ho Ho Kam Surgeons Ltd | Surgery | 10290 North 92nd Street, Suite 300, Scottsdale, AZ 85258 | 2006-04-01 |
1922098375 | Robert Lloyd Fortune | Surgery | 9290 E Thompson Peak Pkwy, Unit 257, Scottsdale, AZ 85255-4507 | 2005-10-26 |
1114912698 | Fortune Vein Clinic | Surgery | 7125 E Lincoln Dr, Suite B109, Scottsdale, AZ 85253-4429 | 2005-09-12 |
1063413904 | Venkatesh G Ramaiah | Surgery | 7285 E Earll Dr Bldg C, Scottsdale, AZ 85251-7230 | 2005-08-02 |
1023633633 | Alex Westerband Md Pllc | Surgery | 9700 N 91st St Ste A115, Scottsdale, AZ 85258-5036 | 2020-06-09 |
1730675547 | Pulse Cardiovascular Institute LLC | Surgery | 7285 E Earll Dr Bldg C, Scottsdale, AZ 85251-7230 | 2018-07-04 |
1104144849 | Alessandra Puggioni, Md, Pllc | Surgery | 7331 E Osborn Dr, Suite 220, Scottsdale, AZ 85251-6435 | 2010-05-05 |
Find all providers in SCOTTSDALE |
City | SCOTTSDALE |
Zip Code | 85258 |
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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.