MEDICARE: NEXGEN ARTERY & VEIN INSTITUTE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician
2	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1982035242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXGEN ARTERY & VEIN INSTITUTE, LLC

Provider Business Mailing Address
First Line	:	28089 VANDERBILT DR
Second Line	:	SUITE 201
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34134-7521
Country	:	US
Telephone Number	:	914-376-2967
Fax Number	:	239-405-8544

Provider Business Practice Location Address
First Line	:	28089 VANDERBILT DR
Second Line	:	SUITE 201
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34134-7521
Country	:	US
Telephone Number	:	914-376-2967
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	PAULA SMITH
Credential	:
Telephone Number	:	914-376-2967

Provider Enumeration Date	:	12/11/2013
Last Update Date	:	03/19/2015

Similar Medicare Providers

1689674178 — CHRISTOPHER PALADINO DPM
Practice Location Address:

28089 VANDERBILT DR , #104
BONITA SPRINGS, FL
34134-7521

Practice Phone: 239-498-1176
Practice Fax: 239-498-5877

1962499285 — FOOT & ANKLE CARE CENTER PA
Practice Location Address:

28089 VANDERBILT DR , SUITE 104
BONITA SPRINGS, FL
34134-7521

Practice Phone: 239-498-1176
Practice Fax: 239-498-5877

1790583979 — PEOPLE SOLUTIONS OF SW FL LLC
Practice Location Address:

28089 VANDERBILT DR STE 102
BONITA SPRINGS, FL
34134-7521

Practice Phone: 239-301-2139
Practice Fax:

1831240506 — MR. DENNIS DWAYNE SIEFKER MA LPC MFC
Practice Location Address:

5940 LEATHER DR
COLORADO SPRINGS, CO
80923-7521

Practice Phone: 719-377-0464
Practice Fax:

1528253895 — JEAN MARIE DOAN NP-C
Practice Location Address:

325 E FONTANERO ST
COLORADO SPRINGS, CO
80907-7521

Practice Phone: 719-636-3829
Practice Fax: 719-636-1387

1295593689 — NEKETA JOSEPH
Practice Location Address:

7521 FRESH SPRINGS RD
FORT WORTH, TX
76120-2493

Practice Phone: 469-597-8870
Practice Fax:

Directions to “NEXGEN ARTERY & VEIN INSTITUTE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.