Provider Demographics
NPI:1477837037
Name:INDIANA VEIN SPECIALISTS, LLC
Entity type:Organization
Organization Name:INDIANA VEIN SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHOONOVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-348-3023
Mailing Address - Street 1:11590 N MERIDIAN ST STE 270
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-6954
Mailing Address - Country:US
Mailing Address - Phone:317-348-3020
Mailing Address - Fax:317-863-1237
Practice Address - Street 1:11590 N MERIDIAN ST STE 270
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-6954
Practice Address - Country:US
Practice Address - Phone:317-348-3020
Practice Address - Fax:317-863-1237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-30
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01060951A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty