ADVANCED VASCULAR AND VEIN CENTER LLC NPI 1679767610

NPI Information

NPI: 1679767610
Provider Name: ADVANCED VASCULAR AND VEIN CENTER LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
17404 BURKE ST STE 102
OMAHA, NE
ZIP 68118
Phone: (531) 466-4260
Get Directions

ADVANCED VASCULAR AND VEIN CENTER LLC is a vascular surgery surgery in Omaha, NE. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. ADVANCED VASCULAR AND VEIN CENTER LLC NPI is 1679767610. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17404 BURKE ST STE 102
OMAHA, NE
ZIP 68118-242
Phone: (531) 466-4260
Fax: (531) 466-4304

The provider's authorized official is Jackie Mcdermott .
The authorized official title is Office Manager and has the following contact phone number (402) 552-3015.

The enumeration date for this NPI number is 9/4/2007 and was last updated on 10/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery				No
2	2086S0129X	Surgery	Vascular Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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