PREMIER VEIN AND VASCULAR CARE LLC (NPI# 1194373704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194373704 |
| Entity Type | Organization |
| Organization Name | PREMIER VEIN AND VASCULAR CARE LLC |
| Practice Address |
33290 Bainbridge Rd Solon OH 44139-2802 |
| Mailing Address |
6112 Penfield Ln Solon OH 44139-5936 |
| Practice Telephone | 4405610994 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| Authorized Official Name | MIREILLE MOISE (PRESIDENT) |
| Authorized Official Telephone | 2165026237 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Solon Vein Clinic | Doing Business As Name - Organization |
| Street Address |
33290 BAINBRIDGE RD |
| City | SOLON |
| State | OH |
| Zip Code | 44139-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749308 | Leela R Nair | Technician | 32627 Springside Lane, Solon, OH 44139 | 2020-10-29 |
| 1992322556 | Khetam Mohammed Abed | Nurse Practitioner | 30575 Brainbridge Road, Suite 200, Solon, OH 44139 | 2020-06-30 |
| 1841756194 | The Dental Office of Solon Jonathan J Klineman | Dentist | 6175 Som Center Road #235, Solon, OH 44139 | 2019-02-12 |
| 1942736038 | Rada Duplik | Pharmacist | 32565 Stonybrook Lane, Solon, OH 44139 | 2017-05-10 |
| 1831631761 | Deborah Lahey | Speech-Language Pathologist | 5955 Buckboard Lane, Solon, OH 44139 | 2016-11-09 |
| 1558719815 | Center for Stroke and Hand Recovery | Clinic/Center | 32901 Station St., Suite 102, Solon, OH 44139 | 2016-05-27 |
| 1639542079 | Sonya Movassaghi | Dentist | 34194 Aurora Rd, #166, Solon, OH 44139 | 2015-11-06 |
| 1548648017 | Richard A. Marvin | Social Worker | 7196 Som Center Rd., Our Redeemer Lutheran Church, Solon, OH 44139 | 2015-05-15 |
| 1285057125 | Rachel Heflen | Social Worker | 33595 Bainbridge Rd Ste 101, Solon, OH 44139 | 2014-01-29 |
| 1134426398 | Justin J Crivelli | Internal Medicine | 30575 Bainbridge Rd, Solon, OH 44139 | 2011-02-23 |
| Find all providers in zip 44139 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993459 | Matt Thompson | Surgery | Department of Vascular Surgery 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-05-14 |
| 1588144299 | Garcia Vascular Surgery Center, LLC | Surgery | 29099 Health Campus Dr Ste 380, Westlake, OH 44145-5276 | 2018-08-21 |
| 1962900365 | Marilyn Mcnamara | Surgery | 1031 Brook Ln, Rocky River, OH 44116-2184 | 2018-01-31 |
| 1386155521 | Zanesville Vascular Vein & Wound Center LLC | Surgery | 3964 Frazeysburg Rd Unit A, Zanesville, OH 43701-8920 | 2017-10-16 |
| 1679026751 | Center for Vein Restoration Oh, LLC | Surgery | 1050 Isaac Streets Dr Ste 131, Oregon, OH 43616-8203 | 2016-07-26 |
| 1235541640 | Jon Garrett Quatromoni | Surgery | Mail Code F30 9500 Euclid Avenue, Cleveland, OH 44195-4238 | 2014-05-20 |
| 1881035343 | Innovative Wound Care Associates, Inc | Surgery | 790 Boardman Canfield Rd Ste 3, Boardman, OH 44512-4344 | 2013-07-12 |
| 1184062242 | Jorge Enrique Motta | Surgery | 12268 Church Rd, Orrville, OH 44667-9623 | 2013-06-11 |
| 1912245853 | Cleveland East Vascular Care, LLC | Surgery | 23650 Commerce Park Ste B, Beachwood, OH 44122-5817 | 2013-01-28 |
| 1457613838 | Christopher Michael Paprzycki | Surgery | 2123 Auburn Ave Ste 139, Cincinnati, OH 45219-2906 | 2012-06-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.