Vein Clinic PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

VEIN CLINIC PA

Practice address

470 W 78TH St
Ste 250
Chanhassen, MN 55317

Phone

(952) 934-3296

Fax

(952) 906-1737

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Charles Russell Heagle, MD

Title

President Owner

Phone

(952) 934-3296

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melanie Clare Murn, MD

  • Phlebology Physician
  • Chanhassen, MN
  • NPI 1407918444
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669534608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "55387",
            "telephone_number": "952-934-3296",
            "fax_number": "952-906-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W 78TH ST",
            "address_2": "STE 250",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "55317",
            "telephone_number": "952-934-3296",
            "fax_number": "952-906-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEAGLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "952-934-3296",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "40432VE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Underwood-Wright
• Kari Leah Vacinek, M.S.W., L.I.C.S.W
• Hana Marie Vander Galien
• Jason A Varin, PHARM.D.
• Marcie Michelle Vaske
• Lucas James Voie, PT
• Walgreen Co (Walgreens #09728)
• Nicole Kristine Walker-Marquette, APRN, CNP
• Rusty Wallman, PT
• Nicole Walter

• Medical Specialty Clinic/Center in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Medical Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.