Vein Care of Ohio-West, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

35053437 Issued in OH

Legal business name

VEIN CARE OF OHIO-WEST, LLC

Practice address

4330 W 150TH St
Suite 103
Cleveland, OH 44135-1362

Phone

(216) 688-8000

Fax

(216) 688-0075

NPI assigned

Nov 30, 2006

Last updated

Sep 11, 2025By 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

Dr. Bradley A Blackburn, M.D.NPI 1033102124

Title

President

Phone

(216) 688-8000

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Bradley A Blackburn, MD

  • Diagnostic Radiology Physician
  • Strongsville, OH
  • NPI 1033102124
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104994219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 W 150TH ST",
            "address_2": "SUITE 103",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441351362",
            "telephone_number": "216-688-8000",
            "fax_number": "216-688-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 W 150TH ST",
            "address_2": "SUITE 103",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441351362",
            "telephone_number": "216-688-8000",
            "fax_number": "216-688-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CARE OF OHIO-WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-688-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35053437",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35053437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Vedova
• Maria Paula Vega Brizneda, MD
• Jeanette Vega-Dudenas, APRN
• Raquel Vega, LPCC, LPMT
• Allison Veide
• Joshua Michael Veith, M.D.
• Ilir Elias Veizi, M.D.
• Esda N Velasco, QMHS MA CMS MA
• Jeffrey Calagos Velasco, CNP
• Rachel E Velasquez, AGACNP-BC, APRN-CNP

• General Practice Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.