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 3 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
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1396452611, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
QUEEN CREEK, AZ 85142
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396452611, enumerated 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.
Phlebology with taxonomy code 202K00000X.
