HAVASU VEIN CENTER – NPI #1265657969
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
HAVASU VEIN CENTER is a surgeon located in LAKE HAVASU CITY, AZ. NPPES has assigned the NPI number 1265657969 to HAVASU VEIN CENTER on April 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HAVASU VEIN CENTER” is a dba name, the actual legal business name for this organization is EUGENE VITVITSKY MD. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HAVASU VEIN CENTER below.
NPI Profile for
EUGENE VITVITSKY MD
(more than 19 years ago)
LAKE HAVASU CITY, AZ 86406 Phone: (928) 855-4411 Fax: (928) 855-4418
SUITE A-2
LAKE HAVASU CITY, AZ 86403 Phone: (928) 855-4411 Fax: (928) 855-4418
CO-OWNER
Phone: (928) 855-4411
Identifiers for HAVASU VEIN CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS OF ARIZONA | AZ | AZ0440881 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
AZ | 35142 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.