Boris Vinogradsky MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BORIS VINOGRADSKY MD INC

Practice address

36100 Euclid Ave
Willoughby, OH 44094-4456

Phone

(440) 953-8055

Fax

(440) 953-0242

NPI assigned

Apr 20, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Boris Vinogradsky, M.D.

Title

President

Phone

(216) 595-9600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1073839783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441220958",
            "telephone_number": "216-595-9600",
            "fax_number": "216-595-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944456",
            "telephone_number": "440-953-8055",
            "fax_number": "440-953-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS VINOGRADSKY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "VINOGRADSKY",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-595-9600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2224499",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Elizabeth Blessing
• Robert E Block, D.M.D.
• Cynthia R Boes, MD
• Kimberley Marie Bolog
• Katherine Bonanno
• Melanie Boron, PHARMD
• Natalie Borrell, ED.S
• Bryan Bossert
• Jennifer Ashley Bostick, DO
• Hannah Bourgeois, R.PH.

• Surgery Physician in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.