VEIN CLINICS OF BOSTON LLC (NPI# 1891055158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891055158 |
| Entity Type | Organization |
| Organization Name | VEIN CLINICS OF BOSTON LLC |
| Practice Address |
1208b Vfw Pkwy Ste 300 Boston MA 02132-4350 |
| Mailing Address |
Po Box 353 Northbrook IL 60065-0353 |
| Practice Telephone | 6173916900 |
| Practice Fax Number | 6173916901 |
| Mailing Telephone | 8475938460 |
| Mailing Fax Number | 8886213330 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| Authorized Official Name | DR. YAN KATSNESLSON (OWNER) |
| Authorized Official Telephone | 6173916900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | VEIN CLINICS OF BOSTON LLC | 1208b Vfw Pkwy., Ste 300, W. Roxbury, MA 02132 |
| Street Address |
1208B VFW PKWY STE 300 |
| City | BOSTON |
| State | MA |
| Zip Code | 02132-4350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299663 | Ashley Monteiro | Counselor | 15 Elgin St, West Roxbury, MA 02132 | 2018-06-18 |
| 1033639943 | Nahed Lakkis | Dentist | 80 New Haven St, West Roxbury, MA 02132 | 2017-06-21 |
| 1053780692 | Yanpeng Ding | Optometrist | 2034a Centre St, West Roxbury, MA 02132 | 2015-09-24 |
| 1013303437 | Alaa Alrababa I | Dentist | 125 Edgemere Road, 202, West Roxbury, MA 02132 | 2015-04-13 |
| 1023426483 | Kearstin F. Thomas D.m.d.,pc | Dentist | 2075 Centre Street, West Roxbury, MA 02132 | 2014-07-30 |
| 1003226630 | Beyond Independent Living LLC | Case Management | 1208b Vfw Parkway, Suite 301, Boston, MA 02132 | 2014-05-05 |
| 1780920223 | Kysa Christie | Psychologist | 1400 Vfw Parkway (sci 128), West Roxbury, MA 02132 | 2013-01-02 |
| 1629324652 | Mohamed Al-janabi | Dentist | 250 Spring St, Apt 18, West Roxbury, MA 02132 | 2012-07-27 |
| 1265704787 | Ronda Denise Jones | Case Manager/Care Coordinator | 2077 Centre Street, West Roxbury, MA 02132 | 2012-01-30 |
| 1306123419 | Hung Doan | Pharmacist | 1065 Truman Highway, Hyde Park, MA 02132 | 2011-11-03 |
| Find all providers in zip 02132 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255563334 | Samuel Schwartz | Surgery | 15 Parkman St # 440, Boston, MA 02114-3117 | 2009-08-21 |
| 1609921345 | John A Mannick | Surgery | Brigham & Womens Hosp, 75 Francis Street, Boston, MA 02115 | 2007-01-24 |
| 1326093733 | Sherry D Scovell | Surgery | 15 Parkman Street Wac 440, Massachusetts General Hospital Division of Vascular Sur, Boston, MA 02114 | 2006-05-23 |
| 1831155985 | Matthew T Menard | Surgery | Brigham and Womans Hospital, Division of Vascular Surgery, Boston, MA 02115 | 2006-04-25 |
| 1174158109 | Mohamad Anas Hussain | Surgery | 75 Francis St, Boston, MA 02115-6106 | 2020-03-10 |
| 1477027464 | Julie E Mosher | Surgery | 55 Fruit St, Boston, MA 02114-2621 | 2019-01-14 |
| 1346770583 | Srihari K Lella | Surgery | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2017-06-19 |
| 1447609235 | Jennifer Li | Surgery | 110 Francis St, Suite 9b, Boston, MA 02215-5501 | 2016-06-13 |
| 1700227311 | Anand Yogesh Shah | Surgery | 800 Washington St # 437, Boston, MA 02111-1552 | 2013-07-11 |
| 1497015507 | Aqeel M Siddiqui Md Ltd | Surgery | 4 Longfellow Pl, 3406, Boston, MA 02114-2838 | 2012-05-22 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on VEIN CLINICS OF BOSTON LLC.
| 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.