Vein Clinics of Lake County LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35074946 Issued in OH

Legal business name

VEIN CLINICS OF LAKE COUNTY LLC

Practice address

7965 Auburn Rd
Concord Township, OH 44077-9701

Phone

(440) 352-2702

Fax

(440) 252-2700

NPI assigned

Aug 28, 2013

Last updated

Mar 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Machelle Giordon

Title

Credentialing

Phone

(330) 723-2111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Razieh Mohseni, MD

  • Internal Medicine Physician
  • Concord TWP, OH
  • NPI 1629053426
  Medicare reassignment NPD
• Paola Biasella Santillo, NP

  • Gerontology Nurse Practitioner
  • Concord Township, OH
  • NPI 1972292407
  NPD

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1073947867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7965 AUBURN RD",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779701",
            "telephone_number": "440-352-2702",
            "fax_number": "440-252-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7965 AUBURN RD",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779701",
            "telephone_number": "440-352-2702",
            "fax_number": "440-252-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CLINICS OF LAKE COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "GIORDON",
        "authorized_official_first_name": "MACHELLE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "330-723-2111"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35074946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Trumble, LPN
• University Hospitals Urgent Care, LLC (UH Concord Urgent Care)
• Katelyn Urban, D.O.
• Paul Frank Vanek Jr., MD, FACS
• Brittany Anna Varner, SLP
• Susan Vibbert
• Jennifer Vilagi, LPN
• Emily Washington, SLP
• Wellstreet of Georgia PC
• Nicole Westbrook

• Internal Medicine Physician in Concord Township, OH
• Providers in Concord Township, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.