Organization Active NPI

Vascular Surgery Associates of Cincinnati Inc

  • Vascular Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1316913643
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
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

Updated by the provider on Jul 2, 2010

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)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200065840MedicaidIN
0265118MedicaidOH
65933368MedicaidKY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.