Vein Doctor LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

VEIN DOCTOR LLC

Practice address

2529 Glenn Hendren Dr Ste G60
Liberty, MO 64068-9607

Phone

(816) 792-1188

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Timothy Raveill, MD

Title

President

Phone

(913) 599-6777

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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

• Mary E Macnaughton, MD

  • Diagnostic Radiology Physician
  • Liberty, MO
  • NPI 1306866025
  NPD (past)
• Robert C Newth, MD

  • Diagnostic Radiology Physician
  • Liberty, MO
  • NPI 1811917487
  NPD (past)
• Charlene Jean Ludwig, ARNP

  • Nurse Practitioner
  • Overland Park, KS
  • NPI 1932272184
  NPD (past)
• Ryan Redelman, M.D.

  • Diagnostic Radiology Physician
  • Huntsville, AL
  • NPI 1891953816
  NPD (past)
• Ellen M Yetter, MD

  • Diagnostic Radiology Physician
  • Overland Park, KS
  • NPI 1902873441
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1740212299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102338",
            "telephone_number": "913-599-6777",
            "fax_number": "913-599-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 GLENN HENDREN DR STE G60",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689607",
            "telephone_number": "816-792-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN DOCTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "RAVEILL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-599-6777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Vanderford
• Russell WL Vanderlinden, FNP
• Jordan Rachelle Vanness, ATC
• Vas-Nes, P.C.
• Vascular Surgery Associates, P.C.
• Ana Venegas
• Patrick Vescovo, CRNA
• Taylor Victorine, DDS
• Jamie Visser
• Vocational Services, Inc.

• Vascular & Interventional Radiology Physician in Liberty, MO
• Providers in Liberty, MO by specialty
• Vascular & Interventional Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.