Midwest Vein Treatment Clinic Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MIDWEST VEIN TREATMENT CLINIC INC

Practice address

8101 Miller Farm LN
Suite a
Centerville, OH 45458-7320

Phone

(937) 281-0200

Fax

(937) 281-0203

NPI assigned

Jan 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nancy Moore

Title

Director of Operations

Phone

(512) 342-0455

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice Kennedy, FNP-BC

  • Family Nurse Practitioner
  • Moraine, OH
  • NPI 1801427497
  Medicare reassignment Care Compare group NPD
• Sukirtharan Sinnathamby, MD

  • Cardiovascular Disease Physician
  • Springboro, OH
  • NPI 1538138037
  Medicare reassignment Care Compare group NPD
• Matthew Sebastian, MD

  • Vascular & Interventional Radiology Physician
  • Toledo, OH
  • NPI 1245322411
  Medicare reassignment NPD
• Robert Lawrence King, MD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1457557829

  OH

  Medicare reassignment NPD
• Michael W Stogsdill, PA-C

  • Physician Assistant
  • Dayton, OH
  • NPI 1871573352
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1023154333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 MILLER FARM LN",
            "address_2": "SUITE A",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454587320",
            "telephone_number": "937-281-0200",
            "fax_number": "937-281-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 MILLER FARM LN",
            "address_2": "SUITE A",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454587320",
            "telephone_number": "937-281-0200",
            "fax_number": "937-281-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST VEIN TREATMENT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "512-342-0455"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CA5556",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miami Valley CCK Laboratory
• Miami Valley Medical Supplies Inc.
• Caren Michael, APRN-CNP
• Marie Middleton, NP-C
• Midwest Federal Injury Group
• Eleina Mikhaylov, MD
• Heather Breanne Miles, APRN
• Pamela Miller-Girton, RN, LISW
• Charles R Miller, PT
• Debra Ann Miller

• Vascular Surgery Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• Vascular Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.