PINNACLE VEIN AND VASCULAR CENTER PLLC (NPI# 1902312317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902312317 |
| Entity Type | Organization |
| Organization Name | PINNACLE VEIN AND VASCULAR CENTER PLLC |
| Practice Address |
12361 W Bola Dr Ste 100 Surprise AZ 85378-9021 |
| Mailing Address |
12863 E Cactus Rd Scottsdale AZ 85259-3555 |
| Practice Telephone | 6076513455 |
| Mailing Telephone | 6076513455 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2018-01-02 |
| Authorized Official Name | DR. BALJEET S UPPAL (OWNER) |
| Authorized Official Telephone | 6076513455 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
49616 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
12361 W BOLA DR STE 100 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85378-9021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003883273 | Teri Victor | Nurse Practitioner | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2006-03-07 |
| 1457989576 | National Cardiovascular Associates, LLC | Internal Medicine | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2020-04-01 |
| 1174160329 | Physician United, LLC | Family Medicine | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2019-12-06 |
| 1114582590 | Gregory David Mikut | Nurse Practitioner | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2019-05-01 |
| 1851729776 | Claudia M Angulo | Nurse Practitioner | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2013-10-31 |
| 1992130884 | Jonathan Dale Peckham | Physician Assistant | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2013-09-10 |
| 1063632149 | Stephen Troy Smith | Surgery | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2007-04-30 |
| 1104984491 | Kishlay Anand | Internal Medicine | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2006-12-05 |
| 1982643987 | Annette H Tuszynski | Nurse Practitioner | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2006-06-05 |
| 1295781029 | Andy T Tran | Internal Medicine | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467947101 | Destiny Springs Healthcare, LLC | Psychiatric Hospital | 17300 N. Dysart Road, Surprise, AZ 85378 | 2018-06-26 |
| 1881013480 | Amanda Brimlow | Specialist | 12425 West Bell Rd, Suite 200, Surprise, AZ 85378 | 2014-04-10 |
| 1598193104 | Kalin Marie Harding | Nurse Practitioner | 12425 W. Bell Rd., Suite 106, Suprise, AZ 85378 | 2013-10-16 |
| 1043651540 | Rachel Sara Herrin | Internal Medicine | 12665 W. Smokey Dr., #140, Surprise, AZ 85378 | 2013-07-12 |
| 1962756528 | Daniel Allen Dryer | Registered Nurse | 11607 W. Mingus Mt. Ct., Surprise, AZ 85378 | 2012-11-05 |
| 1124374715 | Rabeca Vatamaniuc | Home Health Aide | 11151 W Lily Mckinley Dr, Surprise, AZ 85378 | 2012-08-01 |
| 1710073457 | Arizona's Children Association | Clinic/Center | 11321 West Bell Road, Suite 401, Surprise, AZ 85378 | 2006-10-04 |
| 1538429121 | Sr Billing | Anesthesiology | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378 | 2012-05-17 |
| 1457515579 | Madhuri Dhupati & Associates Md PC. | Clinic/Center | 12647 W Smokey Dr Ste 119, Surprise, AZ 85378 | 2008-07-17 |
| 1205267119 | Post-acute Physicians of Arizona Pllc | Physical Medicine & Rehabilitation | 13060 W Bell Rd, Surprise, AZ 85378-1200 | 2013-12-02 |
| Find all providers in zip 85378 | ||||
| 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 |
|---|---|---|---|---|
| 1619959970 | Limor Philipp Wall | Surgery | 15571 North Reems Road, Surprise, AZ 85374 | 2005-11-14 |
| 1811997513 | Marc Lewis Eckhauser | Surgery | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2005-07-26 |
| 1255817847 | Atlantis Cardiac & Vascular Center of Surprise, LLC | Surgery | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2018-07-17 |
| 1164970968 | Nhc Arizona Professional Associates LLC | Surgery | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2016-09-21 |
| 1083999361 | Arizona Vein and Vascular Center LLC | Surgery | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2011-10-18 |
| 1396917761 | L Philipp Wall Md PC | Surgery | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2008-03-26 |
| 1063632149 | Stephen Troy Smith | Surgery | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127858 | Flagstaff Pain and Treatment Center LLC | Surgery | 823 N San Francisco St, Flagstaff, AZ 86001-3294 | 2020-08-31 |
| 1013531268 | Honorhealth Ambulatory | Surgery | 6220 W Bell Rd Ste 120, Glendale, AZ 85308-3896 | 2020-06-03 |
| 1649894890 | Honorhealth Ambulatory | Surgery | 9250 N 3rd St Ste 2000, Phoenix, AZ 85020-2403 | 2020-06-03 |
| 1275157414 | Honorhealth Ambulatory | Surgery | 18404 N Tatum Blvd Ste 201, Phoenix, AZ 85032-1508 | 2020-06-03 |
| 1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
| 1790144889 | Scottsdale Healthcare Corporation | Surgery | 7301 E Osborn Rd., Suite 100, Scottsdale, AZ 85251 | 2016-02-17 |
| 1588061535 | Eugene Melvin Zweiback Md | Surgery | 7619 E Nogales Road, Scottsdale, AZ 85258 | 2014-11-19 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1275876518 | Sara Catherine Mckeever | Surgery | 6565 E Carondelet Dr Ste 235, Tucson, AZ 85710-3533 | 2013-04-05 |
| 1689928061 | Michael Arthur Davis | Surgery | 2744 Silver Creek Rd, Bullhead City, AZ 86442-7913 | 2012-11-06 |
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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.