Restore Vascular PLLC
NPI 1396452611ActiveOrganization· Phlebology· Queen Creek, AZ
Phlebology in Queen Creek, Arizona, registered in NPPES in November 2022. The authorized official on file is Nathan Ian Weller, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396452611 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2022 |
| Last updated in NPPES | Aug 29, 2023 |
| Certified by provider | Aug 29, 2023 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|