Vein Specialists of Alaska LLC

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

6942 Issued in AK

Legal business name

VEIN SPECIALISTS OF ALASKA LLC

Practice address

3035 E Palmer Wasilla Hwy Ste 601
Wasilla, AK 99654-7279

Phone

(907) 631-3799

Fax

(907) 631-4132

NPI assigned

Jul 24, 2013

Last updated

Jun 14, 2019By 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

Joseph Ty Bell, MDNPI 1447230917

Title

Owner

Phone

(907) 631-3799

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 4

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.

• Joseph T Bell II, M.D.

  • Phlebology Physician
  • Wasilla, AK
  • NPI 1447230917
  Medicare reassignment Care Compare group NPD Authorized official
• Sharon L Stockwell, CNP

  • Adult Health Nurse Practitioner
  • Soldotna, AK
  • NPI 1790964997
  Medicare reassignment Care Compare group NPD
• David G Smith, M.D.

  • Cardiovascular Disease Physician
  • Painesville, OH
  • NPI 1316980246

  AK

  Medicare reassignment Care Compare group NPD
• Cynthia Jean Smith, PC-C

  • Medical Physician Assistant
  • Anchorage, AK
  • NPI 1013098326
  NPD (past)

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1558703199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 E MOUNTAIN VILLAGE DR",
            "address_2": "SUITE B-437",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547373",
            "telephone_number": "907-357-2005",
            "fax_number": "907-631-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 E PALMER WASILLA HWY STE 601",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547279",
            "telephone_number": "907-631-3799",
            "fax_number": "907-631-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN SPECIALISTS OF ALASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "TY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-631-3799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": "AK",
            "license": "6942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AK STATE",
            "identifier": "992407",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Leiolani Vanderpool, FNP
• Jessica Marie Varah
• Brendaliz Vazquez Garcia
• Vdcak
• Isaac Alexander Vega
• Natalie Dawn Velasquez, M.D.
• Patrick Dennis Ventgen, MS
• Vera Whole Health Inc
• Nathanael Vereide
• Alysia Marie Verley, RN

• Phlebology Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Phlebology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.