REGIONAL VASCULAR & VEIN INSTITUTE, INC (NPI# 1710938659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710938659 |
| Entity Type | Organization |
| Organization Name | REGIONAL VASCULAR & VEIN INSTITUTE, INC |
| Other Organization Name | REGIONAL SURGICAL SPECIALISTS, INC |
| Practice Address |
400 Medical Park Dr Ste 203 Dover OH 44622-3207 |
| Practice Telephone | 3306027702 |
| Practice Fax Number | 3306024169 |
| Mailing Telephone | 3306027702 |
| Mailing Fax Number | 3306024169 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2014-03-31 |
| Authorized Official Name | DR. JEFFREY T PREM (PRESIDENT) |
| Authorized Official Telephone | 3306027702 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | REGIONAL SURGICAL SPECIALISTS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 35071936 | OH | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
35071936 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2267676 | 05 | |
| OH | 2300709 | 05 | |
| OH | RR MEDICARE CANTON | CK3919 | 01 |
| OH | CANTON LAB | ID01191 | 01 |
| OH | 2187360 | 05 | |
| OH | RR MEDICARE DOVER | CG7848 | 01 |
| Other Name | Type Code |
|---|---|
| Regional Surgical Specialists, Inc | Doing Business As Name - Organization |
| Street Address |
400 MEDICAL PARK DR STE 203 |
| City | DOVER |
| State | OH |
| Zip Code | 44622-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083018915 | Samantha Quillen | Nurse Practitioner | 400 Medical Park Dr, Suite 201, Dover, OH 44622-3207 | 2014-10-21 |
| 1073946422 | Jacob Werkin | Surgery | 400 Medical Park Dr, Dover, OH 44622-3207 | 2013-08-20 |
| 1659675791 | Staci Marie Marshall | Nurse Practitioner | 400 Medical Park Dr, Suite 103, Dover, OH 44622-3207 | 2011-01-04 |
| 1922231240 | Nicholas R Groch Do LLC | Otolaryngology | 400 Medical Park Dr, Suite 103, Dover, OH 44622-3207 | 2009-09-03 |
| 1831322155 | Melanie L Pence Do LLC | Otolaryngology | 400 Medical Park Dr, Suite 103, Dover, OH 44622-3207 | 2009-09-03 |
| 1558525998 | Miguel D Montagnese | Surgery | 400 Medical Park Dr, Suite 203, Dover, OH 44622-3207 | 2008-07-15 |
| 1003073297 | Cardiovascular Consultants, Inc. | Internal Medicine | 400 Medical Park Dr, Dover, OH 44622-3207 | 2008-05-16 |
| 1124036793 | Robert M Levitt | Specialist | 400 Medical Park Dr, Suite 203, Dover, OH 44622-3207 | 2006-08-03 |
| 1427039163 | Joseph N Zemis | Surgery | 400 Medical Park Dr, Suite 203, Dover, OH 44622-3207 | 2005-11-09 |
| 1457347619 | Kristi M Leindecker | Family Medicine | 400 Medical Park Dr, Suite 201, Dover, OH 44622-3207 | 2005-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508377 | Rosa Ann Cleaver | Nurse Practitioner | 205 Medical Park Drive, Dover, OH 44622 | 2018-12-03 |
| 1225528417 | Kimberly A Wetzel | Social Worker | 201 Medical Park Dr., Dover, OH 44622 | 2018-05-14 |
| 1598278293 | Linda Kimble | Registered Nurse | 204 S Bellview Ave, Dover, OH 44622 | 2017-11-16 |
| 1932628385 | Stacy Martin | Counselor | Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 | 2017-09-18 |
| 1689110918 | Jamie Renee' Wallace | Registered Nurse | 201 - Hospital Drive, Dover, OH 44622 | 2017-01-10 |
| 1205284577 | Jamey Harlan | Health Educator | 500 Boulevard, Dover, OH 44622 | 2016-05-27 |
| 1447689575 | Kelly Schneiders | Nurse Practitioner | 201 Medical Drive, Dover, OH 44622 | 2013-11-08 |
| 1891122214 | Christa Renee Hatfield-lewis | Counselor | 201 Hospital Drive, Dover, OH 44622 | 2013-09-30 |
| 1790032688 | Audio Hearing Aid Service LLC | Hearing Instrument Specialist | 2630 N. Wooster Ave., Dover, OH 44622 | 2012-08-09 |
| 1376818286 | Tracy Louise Turck | Licensed Practical Nurse | 920 Boulvard St, Dover, OH 44622 | 2012-03-12 |
| Find all providers in zip 44622 | ||||
| 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 |
|---|---|---|---|---|
| 1972522282 | James Estes | Surgery | 19 Old Rollinsford Rd Bldg B, Dover, NH 03820-2807 | 2006-07-18 |
| 1306076765 | Ritoban Sen | Surgery | 19 Old Rollinsford Rd, Building B, Dover, NH 03820-2807 | 2009-07-20 |
| 1881897205 | Murtuza H Habeeb | Surgery | 19 Old Rollinsford Road, Building B, Dover, NH 03820-2827 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993459 | Matt Thompson | Surgery | Department of Vascular Surgery 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-05-14 |
| 1194373704 | Premier Vein and Vascular Care LLC | Surgery | 33290 Bainbridge Rd, Solon, OH 44139-2802 | 2019-08-27 |
| 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 |
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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.