MISSOURI VEIN CARE, LLC
NPI 1174529739
Phlebology in Jefferson City, MO

NPI Status: Active since June 28, 2005

Contact Information

1620 SOUTHRIDGE DR STE B
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 632-2780
Fax: (573) 632-2784

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  • Organization
  • Phlebology

About MISSOURI VEIN CARE, LLC

This page provides the complete NPI Profile along with additional information for Missouri Vein Care, Llc, a provider established in Jefferson City, Missouri operating as a Phlebology. The healthcare provider is registered in the NPI registry with number 1174529739 assigned on June 2005. The practitioner's primary taxonomy code is 202K00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Missouri Vein Care, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's former legal business name is Heart, Lung, Circulation Specialists. The authorized official of this NPI record is Amber Thompson (Operations Manager)

NPI
1174529739
Provider Legal Name
MISSOURI VEIN CARE, LLC
Other Organization Name
HEART, LUNG, CIRCULATION SPECIALISTS
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1620 SOUTHRIDGE DR STE B JEFFERSON CITY, MO 65109
Location Phone
(573) 632-2780
Location Fax
(573) 632-2784
Mailing Address
1620 SOUTHRIDGE DR STE B JEFFERSON CITY, MO 65109
Mailing Phone
(573) 632-2780
Mailing Fax
(573) 632-2784
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2005
Last Update Date
09-12-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Phlebology

Taxonomy Code
202K00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMBER THOMPSON

Authorized Official Title
OPERATIONS MANAGER
Authorized Official Phone
(573) 632-2780

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
50-6126507MEDICAID (05)MO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174529739
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441021876
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 0 + 2 + 1 + 8 + 7 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1174529739 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497750855DR. MICHAEL HUNTER RYAN MD
Individual
Surgery1620 SOUTHRIDGE DR STE B
JEFFERSON CITY, MO 65109
(573) 632-2780
1518915057 VICTORIA GUNN M.D.
Individual
Dermatology1620 SOUTHRIDGE DR STE B
JEFFERSON CITY, MO 65109
(573) 761-1830

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174529739, enumerated in the NPI registry as an "organization" on June 28, 2005

The provider is located at 1620 Southridge Dr Ste B Jefferson City, Mo 65109 and the phone number is (573) 632-2780

This medical organization specializes in Phlebology with taxonomy code 202K00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 28, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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