DECATUR VEIN CLINIC, PC (NPI# 1689851651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689851651 |
| Entity Type | Organization |
| Organization Name | DECATUR VEIN CLINIC, PC |
| Other Organization Name | DECATUR VEIN CLINIC |
| Practice Address |
14540 Prairie Lakes Blvd N Suite 202 Noblesville IN 46060-4366 |
| Mailing Address |
8925 N Meridian St Suite 100 Indianapolis IN 46260-2386 |
| Practice Telephone | 3177761999 |
| Practice Fax Number | 8009183590 |
| Mailing Telephone | 3172182807 |
| Mailing Fax Number | 8005913117 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2013-10-31 |
| Authorized Official Name | THOMAS WHITTEN (OWNER/PRESIDENT) |
| 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 | 201118630 | 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 |
| 1477669349 | Decatur Vein Clinic, PC | Phlebology | 4513 S 7th St, Terre Haute, IN 47802-4503 | 2006-08-22 |
| 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 |
| 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 |
14540 PRAIRIE LAKES BLVD N SUITE 202 |
| City | NOBLESVILLE |
| State | IN |
| Zip Code | 46060-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001007 | David L Patterson | Allergy & Immunology | 14540 Prairie Lakes Blvd N, Suite 207, Noblesville, IN 46060-4366 | 2005-05-23 |
| 1841684412 | Carie J Brewer | Nurse Practitioner | 14540 Prairie Lakes Blvd N, Suite 102, Noblesville, IN 46060-4366 | 2015-03-23 |
| 1790176394 | Ossip Optometry, PC | Optometrist | 14540 Prairie Lakes Blvd N, Ste 100, Noblesville, IN 46060-4366 | 2015-02-18 |
| 1447671219 | Topflight Physical Therapy | Clinic/Center | 14540 Prairie Lakes Blvd N, Suite 103, Noblesville, IN 46060-4366 | 2013-12-21 |
| 1922237361 | Marcus Logan Hinkle | Physical Therapist | 14540 Prairie Lakes Blvd N, Ste 103, Noblesville, IN 46060-4366 | 2009-07-07 |
| 1720246010 | Kelly J Bean | Nurse Practitioner | 14540 Prairie Lakes Blvd N, Suite 200, Noblesville, IN 46060-4366 | 2008-05-23 |
| 1659543353 | Michael D. Bettner, Dds | Dentist | 14540 Prairie Lakes Blvd N, Ste. 205, Noblesville, IN 46060-4366 | 2008-04-02 |
| 1770784803 | Li Wang Flowers | Nurse Practitioner | 14540 Prairie Lakes Blvd N, Suite 202, Noblesville, IN 46060-4366 | 2007-05-29 |
| 1013128693 | Meredith L Taylor | Internal Medicine | 14540 Prairie Lakes Blvd N, Suite 102, Noblesville, IN 46060-4366 | 2007-05-24 |
| 1316020001 | Jon D Van Scyoc | Family Medicine | 14540 Prairie Lakes Blvd N, Suite 102, Noblesville, IN 46060-4366 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659932770 | Leah Marie Jurek | Physical Therapist | 9600 E 146th St, Noblesville, IN 46060 | 2019-06-28 |
| 1770142481 | Allison Elizabeth Tschuor | Speech-Language Pathologist | 9600 E. 146th St., Noblesville, IN 46060 | 2019-06-07 |
| 1700345600 | William Becker | Counselor | 970 Logan St., Noblesville, IN 46060 | 2019-03-19 |
| 1427515550 | Noblesville Assisted Living Group, LLC | Assisted Living Facility | 9600 E. 146th Street, Noblesville, IN 46060 | 2019-02-25 |
| 1568934271 | Papa M Diop | Nurse Practitioner | 9460 E 146th Street, Noblesville, IN 46060 | 2018-12-19 |
| 1205301769 | Noble Eyes, P.C. | Clinic/Center | 13300 Tegler Dr., Suite 110, Noblesville, IN 46060 | 2018-10-10 |
| 1013409994 | Reesa Smith | Marriage & Family Therapist | 23 S. 8th St, Suite 3700, Noblesville, IN 46060 | 2018-06-05 |
| 1497105761 | Jonathan Alford | Obstetrics & Gynecology | 4660 E 146th Street, Suite 100, Noblesville, IN 46060 | 2016-06-17 |
| 1447636113 | Melissa Fields | Nurse Practitioner | 203 Regent Ct, Noblesville, IN 46060 | 2015-08-05 |
| 1225419336 | Lauren Lee Brady | Counselor | 205 Westfield Rd., Noblesville, IN 46060 | 2015-06-15 |
| Find all providers in zip 46060 | ||||
| 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 |
| 1477669349 | Decatur Vein Clinic, PC | Phlebology | 4513 S 7th St, Terre Haute, IN 47802-4503 | 2006-08-22 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NOBLESVILLE |
| Zip Code | 46060 |
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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.