Endovascular Imaging Partners II, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35061982 Issued in OH

Legal business name

ENDOVASCULAR IMAGING PARTNERS II, LLC

Practice address

29101 Health Campus Dr
Building 2 Suite 155
Westlake, OH 44145-5270

Phone

(440) 892-5794

Fax

(440) 892-5798

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Curtis M Lockhart, MD

Title

President

Phone

(440) 892-5794

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Donna M. Gron, CNP

  • Nurse Practitioner
  • Westlake, OH
  • NPI 1891796728
  NPD (past)
• Gregorio Quirino, MD

  • Surgery Physician
  • Westlake, OH
  • NPI 1710065156
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285628198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29101 HEALTH CAMPUS DR",
            "address_2": "BUILDING 2 SUITE 155",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455270",
            "telephone_number": "440-892-5794",
            "fax_number": "440-892-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29101 HEALTH CAMPUS DR",
            "address_2": "BUILDING 2 SUITE 155",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455270",
            "telephone_number": "440-892-5794",
            "fax_number": "440-892-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOVASCULAR IMAGING PARTNERS II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-892-5794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35061982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2430337",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tynisha Ellis
• Anna Maria Louise Ellsesser, O.D.
• Embers to Bloom LLC
• Embers to Bloom LLC
• Isabella Enders
• Katherine Engel, LPCC
• Jennifer L English, RBT
• Conley Walter Engstrom, MD
• Ensta Corp
• Envision Eyewear LLC

• Diagnostic Radiology Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.