Active NPI
Vascular Surgery Associates of Cincinnati Inc
- Vascular Surgery Physician
- Cincinnati, OH
National Provider Identifier
1316913643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- VASCULAR SURGERY ASSOCIATES OF CINCINNATI INC
- Practice address
- 8250 Kenwood Crossing Way
Suite 225
Cincinnati, OH 45236-3668 - Phone
- (513) 936-5280
- Fax
- (513) 784-0266
- NPI assigned
- Feb 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter C Podore, MD
- Title
- President
- Phone
- (513) 936-5280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
8250 Kenwood Crossing Way
Suite 225
Cincinnati, OH 45236-3668
Mailing address
8250 Kenwood Crossing Way
Suite 225
Cincinnati, OH 45236-3668
Phone (513) 936-5280
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200065840 | Medicaid | IN | |
| 0265118 | Medicaid | OH | |
| 65933368 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
8250 Kenwood Crossing Way
Ste 225
Cincinnati, OH 45236
Phone (513) 936-0444
2060 Reading Rd
Ste 120
Cincinnati, OH 45202
Phone (513) 784-9900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278028800000",
"number": "1316913643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8250 KENWOOD CROSSING WAY",
"address_2": "SUITE 225",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452363668",
"telephone_number": "513-936-5280",
"fax_number": "513-784-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8250 KENWOOD CROSSING WAY",
"address_2": "SUITE 225",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452363668",
"telephone_number": "513-936-5280",
"fax_number": "513-784-0266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR SURGERY ASSOCIATES OF CINCINNATI INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-27",
"last_updated": "2010-07-02",
"status": "A",
"authorized_official_last_name": "PODORE",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-936-5280",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200065840",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0265118",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65933368",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.