Organization Active NPI

Vascular Institute of Youngstown LLC

  • Vascular Surgery Physician
  • Youngstown, OH
National Provider Identifier
1134710486
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VASCULAR INSTITUTE OF YOUNGSTOWN LLC
Practice address
420 Oak Hill Ave Ste 100
Youngstown, OH 44502-1430
Phone
(330) 846-6672
NPI assigned
Jan 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Sara Arredondo
Title
Authprized Official
Phone
(330) 846-6672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

420 Oak Hill Ave Ste 100
Youngstown, OH 44502-1430

Mailing address

420 Oak Hill Ave Ste 100
Youngstown, OH 44502-1430
Phone (330) 846-6672

National Provider Directory

National Provider Directory

Locations

420 Oak Hill Ave
Ste 100
Youngstown, OH 44502
Phone (330) 846-6672

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1134710486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 OAK HILL AVE STE 100",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021430",
            "telephone_number": "330-846-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 OAK HILL AVE STE 100",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021430",
            "telephone_number": "330-846-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR INSTITUTE OF YOUNGSTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "ARREDONDO",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "AUTHPRIZED OFFICIAL",
        "authorized_official_telephone_number": "330-846-6672"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.