Center for Vein Restoration Ky, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

CENTER FOR VEIN RESTORATION KY, LLC

Practice address

2054 E Parrish Ave Ste a
Owensboro, KY 42303-1448

Phone

(855) 830-8346

Fax

(855) 830-8346

NPI assigned

Sep 23, 2016

Last updated

Apr 30, 2024By 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

Sanjiv Lakhanpal, MDNPI 1124074083

Title

President

Phone

(855) 830-8346

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

Locations

Practitioners 7

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.

• Luis A Barajas, MD

  • Family Medicine Physician
  • Portage, IN
  • NPI 1548260680

  KY

  Medicare reassignment Care Compare group NPD
• Richard Lansing Dillon, M.D.

  • Vascular & Interventional Radiology Physician
  • Brick, NJ
  • NPI 1306806237

  KY

  Medicare reassignment Care Compare group NPD
• Sanjiv Lakhanpal, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Greenbelt, MD
  • NPI 1124074083

  KY

  Medicare reassignment NPD Authorized official
• Khanh Quoc Nguyen, D.O.

  • Emergency Medicine Physician
  • Silver Spring, MD
  • NPI 1780627976

  KY

  Medicare reassignment Care Compare group NPD
• Mike Sebastian, MD

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1043269624

  KY

  Medicare reassignment Care Compare group NPD
• Corrine M Russo, PA-C

  • Physician Assistant
  • Columbia, MD
  • NPI 1093236945

  KY

  Medicare reassignment NPD
• Robert D. Stoffey, D.O.

  • Diagnostic Radiology Physician
  • Austin, MN
  • NPI 1033153812

  KY

  Medicare reassignment NPD

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1932658622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR",
            "address_2": "SUITE 1000",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703504",
            "telephone_number": "240-965-3258",
            "fax_number": "240-473-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 E PARRISH AVE STE A",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031448",
            "telephone_number": "855-830-8346",
            "fax_number": "855-830-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 S 4th St",
            "address_2": "Suite 700",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023021",
            "country_code": "US",
            "telephone_number": "855-830-8346",
            "fax_number": "240-473-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR VEIN RESTORATION KY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "LAKHANPAL",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-830-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Castlen, BS
• Antonino Cavataio, M.D.
• Elizabeth Guyer Cecil, RDN, LD
• Morgan Renae Cecil, APRN
• Shelby Jo Cecil
• Centerwell Health Services USA, LLC (CenterWell Home Health)
• Cep America LLC
• Chad Foster Counseling, LLC (Chad Foster, LCSW)
• Samantha A Chamberlain, APRN
• Change of Pace Physical Therapy

• Vascular Surgery Physician in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Vascular Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.