Vein Centers of Northwest in

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

01035781A Issued in IN

Legal business name

VEIN CENTERS OF NORTHWEST IN

Practice address

9305 Calumet Ave
Suite E-2
Munster, IN 46321-2887

Phone

(219) 836-1555

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Mateo V. Guanzon, M.D.

Title

President

Phone

(219) 836-2022

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1124051735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212807",
            "telephone_number": "219-836-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 CALUMET AVE",
            "address_2": "SUITE E-2",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212887",
            "telephone_number": "219-836-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CENTERS OF NORTHWEST IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "GUANZON",
        "authorized_official_first_name": "MATEO",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-836-2022",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01035781A",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01035781A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Vath
• Kenn Vattathara, MD
• Elizabeth Brianne Vaught, NP
• Zachary Justin Vega
• Brittany J Vegh, FNP
• Ramon Mendoza Velasco, P.T.
• Selena Velasco, MSN, FNP-C
• Velmora Health LLC
• Vida Counseling Center LLC
• Mayola Lara Villarruel, ANP

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Munster, IN
• Providers in Munster, IN by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.