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MISSOURI VEIN CARE LLC NPI 1174529739


NPI Information

NPI: 1174529739
Provider Name: MISSOURI VEIN CARE, LLC

Former Legal Business Name: HEART, LUNG, CIRCULATION SPECIALISTS

Classification: Phlebology - 202K00000X
Entity Type: Organization
Address:
1620 SOUTHRIDGE DR STE B
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 632-2780
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MISSOURI VEIN CARE, LLC is a phlebology in Jefferson City, MO. The provider is 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. MISSOURI VEIN CARE, LLC NPI is 1174529739. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Heart, Lung, Circulation Specialists.

The provider's business location address is:

1620 SOUTHRIDGE DR STE B
JEFFERSON CITY, MO
ZIP 65109-005
Phone: (573) 632-2780
Fax: (573) 632-2784

The provider's authorized official is Amber Thompson .
The authorized official title is Operations Manager and has the following contact phone number (573) 632-2780.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 9/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1202K00000XPhlebologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
150-6126507MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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