Western Reserve Vascular Institute

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

WESTERN RESERVE VASCULAR INSTITUTE

Practice address

813 Kentwood Dr
Boardman, OH 44512-5004

Phone

(330) 953-3515

Fax

(330) 953-0313

NPI assigned

Jul 30, 2008

Organization subpart

No

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

Authorized official

Name

Joseph G Protain, D.O

Title

Dr.

Phone

(330) 953-3515

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmen Barkman, FNP-C

  • Family Nurse Practitioner
  • Akron, OH
  • NPI 1720526056
  NPD (past)
• Michael Levy, M.D.

  • Surgery Physician
  • Norwalk, OH
  • NPI 1891703112
  NPD (past)
• Mary South, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Akron, OH
  • NPI 1215011184
  NPD (past)

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1104082031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 KENTWOOD DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125004",
            "telephone_number": "330-953-3515",
            "fax_number": "330-953-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 KENTWOOD DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125004",
            "telephone_number": "330-953-3515",
            "fax_number": "330-953-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RESERVE VASCULAR INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "PROTAIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "330-953-3515",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "34-008446",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2688846",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianne Weisner, APN
• Lisa N Weiss, MD
• Simon Weiss
• Solomon Weiss
• Wellnessone of Boardman
• Westrn Kat Services LLC
• Chivas Whipple
• Kevin Michael White, PHARM.D.
• Kristyana Wichert
• Maribeth Willard, RBT

• Vascular Surgery Physician in Boardman, OH
• Providers in Boardman, OH by specialty
• Vascular Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.