Organization Active NPI

Radiology and Imaging Services

Doing business as Summit Vascular Specialists

  • Vascular Surgery Physician
  • Akron, OH
National Provider Identifier
1316999121
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
RADIOLOGY AND IMAGING SERVICES
Doing business as
Summit Vascular Specialists
Practice address
400 Wabash Ave
Suite 3500
Akron, OH 44307-2433
Phone
(330) 344-1400
Fax
(330) 344-0112
NPI assigned
May 17, 2006
Last updated
Feb 12, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
RADIOLOGY AND IMAGING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Carrie McBride
Title
Office Manager
Phone
(330) 344-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

400 Wabash Ave
Suite 3500
Akron, OH 44307-2433

Mailing address

PO Box 931286
Cleveland, OH 44193-1494
Phone (888) 719-9012

Other identifiers 2

IdentifierTypeStateIssuer
CC3678OtherOHRAILROAD MEDICARE GROUP
2622139MedicaidOH

Other names 1

  • SUMMIT VASCULAR SPECIALISTS Doing business as

National Provider Directory

National Provider Directory
Part of
Radiology Imaging Ser

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1316999121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931286",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441931494",
            "telephone_number": "888-719-9012",
            "fax_number": "330-493-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WABASH AVE",
            "address_2": "SUITE 3500",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072433",
            "telephone_number": "330-344-1400",
            "fax_number": "330-344-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY AND IMAGING SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIOLOGY AND IMAGING SERVICES",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-344-1400"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CC3678",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2622139",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMMIT VASCULAR SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.