Premier Vein and Vascular Care LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

PREMIER VEIN AND VASCULAR CARE LLC

Practice address

33290 Bainbridge Rd
Solon, OH 44139-2802

Phone

(440) 561-0994

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Mireille MoiseNPI 1740474667

Title

President

Phone

(216) 502-6237

Specialties & licenses 1

Addresses

Other names 1

• Solon Vein Clinic Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

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

• Mireille Astrid Moise, MD

  • Vascular Surgery Physician
  • Cleveland, OH
  • NPI 1740474667
  Medicare reassignment NPD Authorized official
• Roxana Doody

  • Family Nurse Practitioner
  • Solon, OH
  • NPI 1023738036
  NPD
• Michelle N Hagan, PA-C

  • Medical Physician Assistant
  • Solon, OH
  • NPI 1063457265
  NPD

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1194373704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 PENFIELD LN",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441395936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33290 BAINBRIDGE RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392802",
            "telephone_number": "440-561-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER VEIN AND VASCULAR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "MOISE",
        "authorized_official_first_name": "MIREILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-502-6237"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "solonveinclinic.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "33290 Bainbridge Rd",
            "city": "Solon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441392802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Solon Vein Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tekisha Pinner Groce
• Brett Piper, AT, ATC
• Patrick David Poland, DDS
• Polaris Speech and Neurological Rehabilitation, LLC
• Amy Pozmann, OT
• Premise Health of Ohio Medical PA
• Pamela Beth Presser, MSW
• Elizabeth Ann Previte, PHARMD, RPH
• Ann T Price
• Professional Touch

• Vascular Surgery Physician in Solon, OH
• Providers in Solon, 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 Aug 27, 2019; 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.