ENDOVASCULAR ASSOCIATES LLC


Address: 8790 E Market St Ste 300, Warren, OH 44484-2360
Phone: 3302826301

ENDOVASCULAR ASSOCIATES LLC (NPI# 1518452010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518452010
Entity Type Organization
Organization Name ENDOVASCULAR ASSOCIATES LLC
Practice Address 8790 E Market St Ste 300
Warren
OH 44484-2360
Mailing Address 3001 Palm Harbor Blvd Ste A
Palm Harbor
FL 34683-1930
Practice Telephone 3302826301
Practice Fax Number 3303624169
Mailing Telephone 7272140462
Mailing Fax Number 7274740055
Enumeration Date 2018-06-27
Last Update Date 2018-06-27
Authorized Official Name EUGENE VITVITSKY (PRESIDENT)
Authorized Official Telephone 3302826301
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 8790 E MARKET ST STE 300
City WARREN
State OH
Zip Code 44484-2360

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1477070811 Amanda Lynn Heberling Occupational Therapy Assistant 8128 Kenyon Dr., Warren, OH 44484 2017-08-26
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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1225381528 Navaroli Medical Clinic/Center 1 New St, Warren, PA 16365-1551 2012-10-24

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1154833655 Next Level Sport and Spine LLC Clinic/Center 204 W. High Ave, New Philadelphia, OH 44663 2017-10-25
1275927840 Alliance Recovery Specialists LLC Clinic/Center 2371 W State St, Suite A, Alliance, OH 44601-3594 2015-03-23
1356742407 Reeshad R Buhariwalla, Md Inc Clinic/Center 4090 Acadia Rd, Delphos, OH 45833-9410 2014-09-09
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Competitor

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City WARREN
Zip Code 44484

Improve Information

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Dataset Information

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.

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