Advanced Vein and Laser Center Lancaster, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD 066588L Issued in PA

Legal business name

ADVANCED VEIN AND LASER CENTER LANCASTER, LLC

Practice address

896A Plaza Blvd
Lancaster, PA 17601-2745

Phone

(717) 682-0705

NPI assigned

Aug 13, 2015

Last updated

Dec 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Alan Winand, M.D.NPI 1467433284

Title

Owner

Phone

(717) 682-0705

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David A Winand, MD

  • Surgery Physician
  • York, PA
  • NPI 1467433284
  Medicare reassignment Care Compare group NPD Authorized official
• Abigail Marjorie Ostertag, PA-C

  • Medical Physician Assistant
  • Wyomissing, PA
  • NPI 1477716140
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1437525490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ROUNDTOP DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012441",
            "telephone_number": "717-682-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896A PLAZA BLVD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012745",
            "telephone_number": "717-682-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VEIN AND LASER CENTER LANCASTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "WINAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-682-0705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD 066588L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Vascular Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.