ADVANCED VEIN & LASER CENTER LLC — NPI 1528088069 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery

CMS-1500 Box 24J / 33a • NPI

1528088069

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2086S0129X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery

Box 32 Service Location & ZIP+4

572 N MAIN ST, SPRINGBORO, OH, 45066-9552

✓ 9-Digit EDI 837 ZIP+4 (45066-9552)

Practice Phone & Referral Fax

(937) 748-8905

Fax: (937) 748-8906

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1528088069 (ADVANCED VEIN & LASER CENTER LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1528088069` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED VEIN & LASER CENTER LLC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery NUCC Code: `2086S0129X` (N/A)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	572 N MAIN ST, SPRINGBORO, OH, 45066-9552
Practice Telephone / Fax	Tel: (937) 748-8905 \| Fax: (937) 748-8906
Administrative Mailing Address	572 N MAIN ST, SPRINGBORO, OH, 45066-9552
Enumeration & Last Sync	Enumerated: 2006-07-20 \| CMS Record Updated: 2020-08-22
Authorized Official	GAIL MARKOFF (ADMINISTRATOR)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

572 N MAIN ST, SPRINGBORO, OH, 45066-9552

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Plain-English Taxonomy & CMS Crosswalk (2086S0129X)

What Does Taxonomy Code 2086S0129X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0129X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 76 (Physician/Peripheral Vascular Disease) • CMS Code 77 (Physician/Vascular Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED VEIN & LASER CENTER LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2086S0129X` — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED VEIN & LASER CENTER LLC (NPI #1528088069)