Vein Center at Allure Medical Spa, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VEIN CENTER AT ALLURE MEDICAL SPA, PLLC

Practice address

8180 26 Mile Rd Ste 300
Shelby Township, MI 48316-5139

Phone

(586) 992-8300

Fax

(586) 992-2830

NPI assigned

Nov 15, 2018

Organization subpart

No

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

Authorized official

Name

Dean Rynkowski

Title

Administration

Phone

(586) 992-8300

Specialties & licenses 1

Addresses

Other names 1

• Charles Mok DO Former legal business name

Locations

Practitioners 1

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

• Charles D Mok, D.O.

  • Surgery Physician
  • Shelby Township, MI
  • NPI 1235181876
  NPD (past)

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1932678281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 26 MILE RD STE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165139",
            "telephone_number": "586-992-8300",
            "fax_number": "586-992-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 26 MILE RD STE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165139",
            "telephone_number": "586-992-8300",
            "fax_number": "586-992-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 W Bluemound Rd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531868756",
            "country_code": "US",
            "telephone_number": "586-992-8300",
            "fax_number": "586-992-2830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1239 Corporate Center Dr",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530664898",
            "country_code": "US",
            "telephone_number": "586-992-8300",
            "fax_number": "586-992-2830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VEIN CENTER AT ALLURE MEDICAL SPA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "RYNKOWSKI",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "586-992-8300"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles Mok DO",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Charles Mok DO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Zachary Vansen, D.C
• Paul S Vanwalleghem, DDS
• Michelle Vasille
• Jenna Vaught
• Vein Center at Allure Medical Spa, PLLC
• Lynda Kinsell Velanovich, R.D.
• Varsha Vemuri
• Donald Salvatore Ventimiglia, R.PH.
• Salvatore Ventimiglia, MD
• Rachel Vibbard

• Ambulatory Surgical Clinic/Center in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.