ABUNDANT LIFE VEIN CENTERS LLC (NPI# 1811126055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811126055 |
| Entity Type | Organization |
| Organization Name | ABUNDANT LIFE VEIN CENTERS LLC |
| Other Organization Name | VEIN CENTERS FOR EXCELLENCE OF DES MOINES |
| Practice Address |
1300 37th St Suite 3 West Des Moines IA 50266-1900 |
| Practice Telephone | 5152230592 |
| Practice Fax Number | 5152238316 |
| Mailing Telephone | 5152230592 |
| Mailing Fax Number | 5152238316 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |
| Authorized Official Name | DR. ROBERT JOHN ANDERSON (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5152230592 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 2086S0129X | IA | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Vein Centers for Excellence of Des Moines | Doing Business As Name - Organization |
| Street Address |
1300 37TH ST SUITE 3 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900844 | Jeffrey D Stahl | Internal Medicine | 1300 37th St, Ste 5, West Des Moines, IA 50266-1900 | 2005-08-26 |
| 1457769077 | Central States Medicine | Nurse Practitioner | 1300 37th St, Suite 3, West Des Moines, IA 50266-1900 | 2014-07-28 |
| 1144646787 | Central States Medicine, Pllc | Nurse Practitioner | 1300 37th St, Suite 3 & 4, West Des Moines, IA 50266-1900 | 2014-03-06 |
| 1477981371 | Sara Mathiasen | Social Worker | 1300 37th St, Ste. 3, West Des Moines, IA 50266-1900 | 2013-10-31 |
| 1639457534 | Jacquelyn Williams | Nurse Practitioner | 1300 37th St, Suite 1, West Des Moines, IA 50266-1900 | 2011-07-26 |
| 1700925526 | Abundant Life Vein Center, LLC | Surgery | 1300 37th St, Suite 3, West Des Moines, IA 50266-1900 | 2007-02-06 |
| 1093704231 | Katherine Sutherland Hauser | Obstetrics & Gynecology | 1300 37th St, West Des Moines, IA 50266-1900 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1306230008 | New Horizons Psychiatric Care | Exclusive Provider Organization | 1004 21st St, Suite 3, Milford, IA 51351-7421 | 2015-03-20 |
| 1386917706 | Mariahs Family Chiropractic PC | Exclusive Provider Organization | 939 Avenue G, Fort Madison, IA 52627-4502 | 2012-02-15 |
| 1871865626 | Mt Pleasant Chiropractic Clinic LLC | Exclusive Provider Organization | 204 N Jefferson St, Mt Pleasant, IA 52641-2017 | 2012-02-08 |
| 1386843555 | Trier Family Chiropractic LLC | Exclusive Provider Organization | 9 N Walnut St, Colfax, IA 50054-1037 | 2007-07-17 |
| 1639398449 | Hearing Aid Management Systems | Exclusive Provider Organization | 118 E 13th St, Ames, IA 50010-5641 | 2007-04-24 |
| City | WEST DES MOINES |
| Zip Code | 50266 |
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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.