Restore Vascular PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RESTORE VASCULAR PLLC

Practice address

7555 E Osborn Rd Ste 104
Scottsdale, AZ 85251-6468

Phone

(480) 442-3990

NPI assigned

Dec 13, 2024

Last updated

Dec 13, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

RESTORE VASCULAR PLLCAs reported in NPPES

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

Authorized official

Name

Nathan Ian Weller

Title

Owner

Phone

(480) 874-6808

Specialties & licenses 3

Addresses

Tax ID family

Restore Vascular PLLC2 organizations share this tax ID, including this one

Part of

Restore Vascular PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Restore Vascular PLLC

  • Physical Medicine & Rehabilitation Physician
  • Sun City, AZ
  • NPI 1679384358
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Restore Vascular PLLC

  • Phlebology Physician
  • Queen Creek, AZ
  • NPI 1396452611
  NPPES parent name

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1518774553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 E OSBORN RD STE 104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516468",
            "telephone_number": "480-442-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 E OSBORN RD STE 104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516468",
            "telephone_number": "480-442-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE VASCULAR PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORE VASCULAR PLLC",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-874-6808"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restful Dental Sleep Care LLC
• Restoration Dermatology Lounge LLC
• Restorative Health PLLC
• Restore Medical PLLC
• Restore Physical Therapy and Wellness
• Rethrive PLLC
• Retina Macula Institute of Arizona
• Michelle Retz, N.D.
• Christina Suzanne Reuss, MD
• Eric Michael Reuss, M.D.

• Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.