VEIN CLINIC PA (NPI# 1669534608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669534608 |
Entity Type | Organization |
Organization Name | VEIN CLINIC PA |
Practice Address |
470 W 78th St Ste 250 Chanhassen MN 55317 |
Mailing Address |
Po Box 84 Waconia MN 55387 |
Practice Telephone | 9529343296 |
Practice Fax Number | 9529061737 |
Mailing Telephone | 9529343296 |
Mailing Fax Number | 9529061737 |
Enumeration Date | 2006-12-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | CHARLES RUSSELL HEAGLE (PRESIDENT OWNER) |
Authorized Official Telephone | 9529343296 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BLUE CROSS | 40432VE | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629357199 | Vein Clinic Pa | Specialist | 13954 Cypress Dr, Suite 102, Baxter, MN 56425-8810 | 2011-08-15 |
1265781629 | Vein Clinic Pa | Specialist | 2801 Wayzata Blvd, Minneapolis, MN 55405-2138 | 2012-08-31 |
1457667784 | Vein Clinic Pa | Clinic/Center | 16372 Kenrick Ave, Suite 100, Lakeville, MN 55044-3540 | 2010-08-24 |
Street Address |
470 W 78TH ST STE 250 |
City | CHANHASSEN |
State | MN |
Zip Code | 55317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396747937 | Elizabeth Burns | Nurse Practitioner | 470 W 78th St, Suite 250, Chanhassen, MN 55317-4524 | 2005-08-12 |
1760802722 | Dentalign, P.a | Dentist | 470 W 78th St, Chanhassen, MN 55317-4524 | 2014-04-17 |
1043540966 | Miranda Mcdonald | Acupuncturist | 470 W 78th St, Suite 120, Chanhassen, MN 55317-4524 | 2009-12-29 |
1922158211 | Robert James Lindsey | Chiropractor | 470 W 78th St, Suite 120, Chanhassen, MN 55317-4524 | 2007-01-11 |
1407918444 | Melanie Clare Murn | Phlebology | 470 W 78th St, Ste 250, Chanhassen, MN 55317 | 2006-12-15 |
1205998242 | Charles Russell Heagle | Phlebology | 470 W 78th St, Suite 250, Chanhassen, MN 55317 | 2006-12-15 |
1053422436 | Joseph A Fiedler | Dentist | 470 W 78th St, Suite #200, Chanhassen, MN 55317 | 2006-08-31 |
1659304053 | Nrg Chiropractic Pa | Chiropractor | 470 W 78th St, Suite 120, Chanhassen, MN 55317 | 2006-07-09 |
1073550018 | Katie Mae Murphy | Chiropractor | 470 W 78th St, Ste 120, Chanhassen, MN 55317 | 2006-05-31 |
1942265434 | Surgical Specialties, Ltd. | Specialist | 470 W 78th St, Chanhassen, MN 55317-4524 | 2006-04-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801245717 | Thaddeus Sharikov | Chiropractor | 7945 Stone Creek Dr. Ste 120, Chanhassen, MN 55317 | 2016-06-10 |
1720461668 | Steven C Witmer | Counselor | Northstar Regional Counseling, 7945 Stone Creek Drive Suite 140, Chanhassen, MN 55317 | 2015-07-08 |
1194078584 | Kentaro Ishikawa | Dentist | 190 Lake Dr E, Ste 130, Chanhassen, MN 55317 | 2012-10-22 |
1356559983 | Rtgmedical | General Acute Care Hospital | 2186 Baneberry Way W, Chanhassen, MN 55317 | 2007-05-18 |
1528273299 | Cam-tu Nguyen Dalluge | Dentist | 500 West 79th Street, Radiance Dental, Chanhassen, MN 55317 | 2007-05-14 |
1194938910 | Sheri Hinrichs | Psychologist | 600 W. 78th St. #220, Chanhassen, MN 55317 | 2007-05-08 |
1891833059 | Great Plains Dental | Dentist | 500 W 79th St, Chanhassen, MN 55317 | 2007-02-01 |
1073665014 | Judith Aarsvold Indrelie | Psychologist | 600 West 78th Street, Chanhassen, MN 55317 | 2007-01-18 |
1285709410 | Diane Patricia O'grady | Psychiatry & Neurology | 7945 Stone Creek Drive, Suite 130, Chanhassen, MN 55317 | 2006-11-22 |
1114097425 | Michael Jeffery Leonard | Dentist | 80 West 78th Street, Chanhassen, MN 55317 | 2006-11-08 |
Find all providers in zip 55317 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
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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1922576081 | Complex Cares LLC | Clinic/Center | 4700 Lexington Ave N Ste C, Shoreview, MN 55126-5964 | 2018-11-07 |
1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
1992196307 | Austin Orthopedics & Sports Medicine | Clinic/Center | 14051 Burnhaven Dr Ste 100, Burnsville, MN 55337-4400 | 2015-02-08 |
1831599430 | Medifit Health, LLC | Clinic/Center | 9201 Quaday Ave Ne Ste 203, Otsego, MN 55330-6604 | 2014-09-02 |
1437567609 | Aligned Chiropractic Pa | Clinic/Center | 3408 E Lake St, Suite 120, Minneapolis, MN 55406-2175 | 2014-07-31 |
1316369911 | New Leaf Medical, Pllc | Clinic/Center | 3622 County Road 101 S, Wayzata, MN 55391-3424 | 2014-01-16 |
1861825093 | Active Feet, Foot & Ankle Health Center | Clinic/Center | 10995 Club West Pkwy Ste 300, Blaine, MN 55449-5861 | 2013-08-12 |
1841538808 | White Dandelion Chinese Medicine L.L.C. | Clinic/Center | 108 3rd St E, Northfield, MN 55057-2050 | 2013-01-27 |
1831409234 | Princeton Chiropractic Clinic LLC | Clinic/Center | 501 4th St S Ste 101, Princeton, MN 55371-4754 | 2010-10-19 |
1629252101 | Paula Allenburg, Ltd | Clinic/Center | 2415 Emerson Ave S, Minneapolis, MN 55405-2602 | 2007-12-20 |
Find all providers with the same taxonomy |
City | CHANHASSEN |
Zip Code | 55317 |
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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.