VEIN CLINIC PA


Address: 470 W 78th St, Ste 250, Chanhassen, MN 55317
Phone: 9529343296

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MN BLUE CROSS 40432VE 01

Other Provider IDs and Locations

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

Office Location

Street Address 470 W 78TH ST
STE 250
City CHANHASSEN
State MN
Zip Code 55317

Providers in the same location

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

Providers in the same zip code

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 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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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Competitor

Search similar providers

City CHANHASSEN
Zip Code 55317

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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