NPIMap

Organization Active NPI

Vanish, LLC

Doing business as Vanish - Advanced Vein Treatments

  • Phlebology Physician
  • Oak Creek, WI
National Provider Identifier
1619492709
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
VANISH, LLC
Doing business as
Vanish - Advanced Vein Treatments
Practice address
7003 S Howell Ave Ste 1600
Oak Creek, WI 53154-1460
Phone
(262) 476-4900
Fax
(414) 395-8925
NPI assigned
Aug 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Dr. Denise Abernethy, MDNPI 1376718650
Title
President
Phone
(262) 476-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X Primary

Addresses

Primary practice location

7003 S Howell Ave Ste 1600
Oak Creek, WI 53154-1460

Mailing address

7003 S Howell Ave Ste 1600
Oak Creek, WI 53154-1460
Phone (262) 439-9725

Other names 1

  • Vanish - Advanced Vein Treatments Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180514001274 WI Part B Supplier - Clinic/Group Practice 0345504684 Receives reassigned benefits from 3 practitioners
Practice locations: Brookfield, WI; Oak Creek, WI; Mequon, WI

National Provider Directory

National Provider Directory

Locations

400 N Executive Dr
Ste 110
Brookfield, WI 53005
Phone (262) 476-4900

12075 N Corporate Pkwy
Ste 130
Mequon, WI 53092
Phone (262) 476-4900

7003 S Howell Ave
Ste 1600
Oak Creek, WI 53154
Phone (262) 476-4900

1930 W Bluemound Rd
Ste D
Waukesha, WI 53186
Phone (262) 476-4900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24415/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1619492709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 S HOWELL AVE STE 1600",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541460",
            "telephone_number": "262-439-9725",
            "fax_number": "414-395-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 S HOWELL AVE STE 1600",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541460",
            "telephone_number": "262-476-4900",
            "fax_number": "414-395-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANISH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2023-01-30",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "ABERNETHY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-476-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanish - Advanced Vein Treatments",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vanish - Advanced Vein Treatments",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.