Active NPI
Vein Envy LLC
- Vascular Surgery Physician
- Litchfield Park, AZ
National Provider Identifier
1225528565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- VEIN ENVY LLC
- Practice address
- 14044 W Camelback Rd Ste 226
Litchfield Park, AZ 85340-9426 - Phone
- (623) 233-1050
- Fax
- (623) 248-6952
- NPI assigned
- May 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amethyst Lafleur
- Title
- Biller/Coder/Credentialing Spec
- Phone
- (623) 233-1050
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X | 006421 | AZ |
Addresses
Primary practice location
14044 W Camelback Rd Ste 226
Litchfield Park, AZ 85340-9426
Mailing address
14044 W Camelback Rd Ste 226
Litchfield Park, AZ 85340-9426
Phone (623) 233-1050
Other practice location 1
20040 N 19th Ave Ste D
Phoenix, AZ 85027-4255
Phone (623) 233-1050
Other practice location 2
13991 W Grand Ave Ste B102
Surprise, AZ 85374-3065
Phone (623) 233-1050
Other practice location 3
4545 E Chandler Blvd Ste 202
Phoenix, AZ 85048-7645
Phone (623) 233-1050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 615010283 | Medicaid | AZ | |
| 47-4987836 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180613000571 | AZ | Part B Supplier - Clinic/Group Practice | 6507111671 |
Receives reassigned benefits from 10 practitioners Practice locations: Litchfield Park, AZ; Mesa, AZ; Phoenix, AZ; Surprise, AZ |
National Provider Directory
National Provider DirectoryLocations
14044 W Camelback Rd
Ste 226
Litchfield Pk, AZ 85340
Phone (623) 233-1050
130 S 63rd St
Ste 101
Mesa, AZ 85206
Phone (480) 985-6000
20040 N 19th Ave
Ste D
Phoenix, AZ 85027
Phone (623) 233-1050
4545 E Chandler Blvd
Phoenix, AZ 85048
Phone (480) 728-4000
13991 W Grand Ave
Ste B102
Surprise, AZ 85374
Phone (623) 233-1050
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Goodyear, AZ
- NPI 1396180477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650585600000",
"number": "1225528565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14044 W CAMELBACK RD STE 226",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853409426",
"telephone_number": "623-233-1050",
"fax_number": "623-248-6952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14044 W CAMELBACK RD STE 226",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853409426",
"telephone_number": "623-233-1050",
"fax_number": "623-248-6952"
}
],
"practiceLocations": [
{
"address_1": "20040 N 19th Ave Ste D",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850274255",
"country_code": "US",
"telephone_number": "623-233-1050",
"fax_number": "623-248-6952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13991 W Grand Ave Ste B102",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853743065",
"country_code": "US",
"telephone_number": "623-233-1050",
"fax_number": "623-248-6952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4545 E Chandler Blvd Ste 202",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850487645",
"country_code": "US",
"telephone_number": "623-233-1050",
"fax_number": "623-215-7137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VEIN ENVY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-11",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A",
"authorized_official_last_name": "LAFLEUR",
"authorized_official_first_name": "AMETHYST",
"authorized_official_title_or_position": "BILLER/CODER/CREDENTIALING SPEC",
"authorized_official_telephone_number": "623-233-1050"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "AZ",
"license": "006421",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "615010283",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-4987836",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Litchfield Park, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.