CLEVELAND EAST VASCULAR CARE, LLC (NPI# 1912245853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912245853 |
| Entity Type | Organization |
| Organization Name | CLEVELAND EAST VASCULAR CARE, LLC |
| Practice Address |
23650 Commerce Park Ste B Beachwood OH 44122-5817 |
| Mailing Address |
9140 Corsea Del Fontana Way Naples FL 34109-4397 |
| Practice Telephone | 2162738010 |
| Practice Fax Number | 2163789005 |
| Mailing Telephone | 2395972010 |
| Mailing Fax Number | 2395972313 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2018-10-12 |
| Authorized Official Name | LISA MCNAMARA (EVP) |
| Authorized Official Telephone | 2395972010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23600 Commerce Park Ste 8, Beachwood, OH 441225817 | 2162738010 | 2395972313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720509722 | Cleveland East Vascular Care, LLC | Clinic/Center | 23650 Commerce Park Ste A, Beachwood, OH 44122-5817 | 2017-06-29 |
| Street Address |
23650 COMMERCE PARK STE B |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346734365 | Preferred Vascular Services Cleveland LLC | Surgery | 23650 Commerce Park Ste B, Beachwood, OH 44122-5817 | 2018-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841545233 | Ram Kishore R Gurajala | Radiology | 23305 Chagrin Blvd, 405s, Beachwood, OH 44122-5549 | 2012-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301679 | Mi Clinics of America | Radiology | 2950 Glendale Milford Rd Ste 520, Cincinnati, OH 45241-3131 | 2020-06-17 |
| 1033743240 | Vascular Institute of Cleveland, LLC | Radiology | 12575 Rockside Rd Ste 102, Garfield Heights, OH 44125-4571 | 2020-02-26 |
| 1891343315 | Vascular Institute of Columbus, LLC. | Radiology | 6503 E Broad St Ste 200, Columbus, OH 43213-1693 | 2019-08-28 |
| 1336585306 | Wlb Interventional, LLC | Radiology | 1500 Holland Rd, Maumee, OH 43537-1619 | 2013-05-17 |
| 1578841748 | Bradley Dean Hnatiuk | Radiology | 3412 E Scarborough Rd, Cleveland Heights, OH 44118-3412 | 2011-07-21 |
| 1093021339 | Karthikeyan Damodharan | Radiology | Hb6 Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2010-08-24 |
| 1013170414 | Kiran Polisetty Sekhar | Radiology | 1563 E Dorothy Ln Ste 204, Dayton, OH 45429-3839 | 2008-07-07 |
| 1801075395 | Praveen K Malhotra Md Inc | Radiology | 531 S Eastown Road, Lima, OH 45805 | 2007-10-31 |
| 1104025972 | Khoury Surgical Group, Inc. | Radiology | 51339 National Rd, Saint Clairsville, OH 43950-9119 | 2007-07-12 |
| 1780727255 | Srikrishna Mannava | Radiology | 6488 E Main St Ste 120, Reynoldsburg, OH 43068-7310 | 2007-02-15 |
| 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.