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ADVANCED VASCULAR AND VEIN CENTER LLC NPI 1679767610


NPI Information

NPI: 1679767610
Provider Name: ADVANCED VASCULAR AND VEIN CENTER LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
4242 FARNAM ST
SUITE 490
OMAHA, NE
ZIP 68131
Phone: (402) 552-3015
Get Directions

ADVANCED VASCULAR AND VEIN CENTER LLC is a vascular surgery surgery in Omaha, NE. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. ADVANCED VASCULAR AND VEIN CENTER LLC NPI is 1679767610. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4242 FARNAM ST
SUITE 490
OMAHA, NE
ZIP 68131-806
Phone: (402) 552-3015
Fax: (402) 552-3028

The provider's authorized official is Jackie Mcdermott .
The authorized official title is Office Manager and has the following contact phone number (402) 552-3015.

The enumeration date for this NPI number is 9/4/2007 and was last updated on 2/16/2017.


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
1208600000XSurgeryNo
22086S0129XSurgeryVascular SurgeryYes

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
1099183MEDICARE PINNEBRASKA
2IB2289MEDICARE PINIOWA
3=========00MEDICAIDNEBRASKA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.