COSMETIC VEIN CENTERS OF VIRGINIA (NPI# 1659541043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659541043 |
| Entity Type | Organization |
| Organization Name | COSMETIC VEIN CENTERS OF VIRGINIA |
| Practice Address |
1901 S Main St Suite 2 Blacksburg VA 24060-6600 |
| Practice Telephone | 5405528346 |
| Practice Fax Number | 5409518346 |
| Mailing Telephone | 5405528346 |
| Mailing Fax Number | 5409518346 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | DAVID T MACMILLAN (OWNER) |
| Authorized Official Telephone | 5405528346 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202K00000X | Phlebology | 0101051292 | VA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Cosmetic Vein Centers of Virginia LLC | 1581 Jefferson Forest Dr, Blacksburg, Virginia 24060 |
| Street Address |
1901 S MAIN ST SUITE 2 |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356339642 | Kimberly Rene Matusevich | Physical Therapist | 1901 S Main St, Suite 8, Blacksburg, VA 24060-6600 | 2005-10-11 |
| 1326695503 | Brieanne Davis Matheney-fluke | Physical Therapy Assistant | 1901 S Main St, Blacksburg, VA 24060-6600 | 2019-08-21 |
| 1902219264 | Warm Hearth At Home, Inc. | Home Health | 1901 S Main St, Suite Number 7, Blacksburg, VA 24060-6600 | 2014-06-04 |
| 1679995088 | Blacksburg Center for Pain Management, Inc. | Pain Medicine | 1901 S Main St, Suite 8, Blacksburg, VA 24060-6600 | 2014-01-21 |
| 1033455357 | Frank Purpera Md PC | Surgery | 1901 S Main St, Suite 2, Blacksburg, VA 24060 | 2012-12-13 |
| 1417241027 | Amy H Overman | Physical Therapist | 1901 S Main St, Suite 8, Blacksburg, VA 24060-6600 | 2011-06-01 |
| 1598058729 | Farhi Eye Care & Surgery Specialists, LLC | Clinic/Center | 1901 S Main St, Unit 1, Blacksburg, VA 24060-6600 | 2011-05-20 |
| 1194957761 | Frank C. Purpera Jr. | Surgery | 1901 S Main St, Blacksburg, VA 24060-6600 | 2009-08-17 |
| 1376672717 | Parisa Farhi | Ophthalmology | 1901 S Main St, Suite 1, Blacksburg, VA 24060-6600 | 2007-03-03 |
| 1023023678 | Cawh Rehabilitation Services | Clinic/Center | 1901 S Main St, Suite 8, Blacksburg, VA 24060-6600 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| 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 |
|---|---|---|---|---|
| 1619587953 | Jenetta Felicia Dixon | Phlebology | 107 Bonair St, Fredericksburg, VA 22405-2797 | 2020-08-02 |
| 1548600349 | Huong Ngoc Luu | Phlebology | 7700 Duneider Ln, City Manassas, VA 20109 | 2013-06-26 |
| 1245739762 | Dulles Vein and Surgical Clinics LLC | Phlebology | 44355 Premier Plz Ste 120, Ashburn, VA 20147-5050 | 2018-02-10 |
| 1265857676 | Varicose Veins & Vascular Clinic LLC | Phlebology | 6 Doctors Dr, Emporia, VA 23847-1240 | 2014-02-21 |
| 1861820904 | Med Spa of Virginia, Inc. | Phlebology | 541 Sunset Ln, Suite 302, Culpeper, VA 22701-3979 | 2013-10-29 |
| 1023171105 | Virginia Skin & Vein, LLC | Phlebology | 3825 Electric Rd Ste C, 419 Office Center, Roanoke, VA 24018-4561 | 2006-12-19 |
| City | BLACKSBURG |
| Zip Code | 24060 |
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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.