RESTORE VASCULAR PLLC
NPI 1396452611
Phlebology in Queen Creek, AZ
NPI Status: Active since November 07, 2022
Contact Information
18510 E SAN TAN BLVD STE 115
QUEEN CREEK, AZ
ZIP 85142
Phone: (480) 442-3990
- Organization
- Phlebology
- Medicare Supplier
- Accepts Medicare Approved Payment
About RESTORE VASCULAR PLLC
This page provides the complete NPI Profile along with additional information for Restore Vascular Pllc, a provider established in Queen Creek, Arizona operating as a Phlebology. The healthcare provider is registered in the NPI registry with number 1396452611 assigned on November 2022. The practitioner's primary taxonomy code is 202K00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Nathan Ian Weller (Owner)
- NPI
- 1396452611
- Provider Name
- RESTORE VASCULAR PLLC
- Entity Type
- Organization
- Location Address
- 18510 E SAN TAN BLVD STE 115 QUEEN CREEK, AZ 85142
- Location Phone
- (480) 442-3990
- Mailing Address
- 18510 E SAN TAN BLVD STE 115 QUEEN CREEK, AZ 85142
- Mailing Phone
- (480) 442-3990
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-07-2022
- Last Update Date
- 08-29-2023
- Code Navigator
Restore Vascular Pllc is a medicare supplier with PTAN 34359032 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf.
Location Map
Secondary Locations
- 9200 W Union Hills Dr Ste 103
Peoria, AZ 85382
(480) 442-3990 - 7555 E Osborn Rd Ste 104
Scottsdale, AZ 85251
(480) 442-3990
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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 111N00000X | Chiropractic Providers | Chiropractor | |
| 2 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | |
| 3 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 34359032
- Accepts Medicare Assignment
- YES
- Specialities List
- Medical Supply Company Other.
- Competitive Bidding
- NO
Supplies List
- (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
Reviews for RESTORE VASCULAR PLLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 3 | 9 | 6 | 4 | 5 | 2 | 6 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 8 | 5 | 4 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 8 + 5 + 4 + 6 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1396452611 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396452611, enumerated in the NPI registry as an "organization" on November 07, 2022
The provider is located at 18510 E San Tan Blvd Ste 115 Queen Creek, Az 85142 and the phone number is (480) 442-3990
This medical organization specializes in Phlebology with taxonomy code 202K00000X
This NPI record was last updated on November 07, 2022. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.