Organization Active NPI

Ohio Vein & Vascular Inc

  • Vascular Surgery Physician
  • Wilmington, OH
National Provider Identifier
1386089480
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35.090093 Issued in OH
Legal business name
OHIO VEIN & VASCULAR INC
Practice address
630 W Main St
Suite 300
Wilmington, OH 45177-2170
Phone
(865) 531-0176
Fax
(865) 531-0722
NPI assigned
May 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Dr. Brian Santin, MDNPI 1083803951
Title
Sole Proprietor
Phone
(865) 531-0176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 35.090093 OH
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X 35.090093 OH Primary

Addresses

Primary practice location

630 W Main St
Suite 300
Wilmington, OH 45177-2170

Mailing address

630 W Main St
Suite 300
Wilmington, OH 45177-2170
Phone (865) 531-0176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131118001106 OH Part B Supplier - Clinic/Group Practice 0941436141 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, OH

National Provider Directory

National Provider Directory

Locations

630 W Main St
Ste 200
Wilmington, OH 45177
Phone (937) 655-8346

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7254/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1386089480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W MAIN ST",
            "address_2": "SUITE 300",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772170",
            "telephone_number": "865-531-0176",
            "fax_number": "865-531-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W MAIN ST",
            "address_2": "SUITE 300",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772170",
            "telephone_number": "865-531-0176",
            "fax_number": "865-531-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VEIN & VASCULAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "SANTIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "865-531-0176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.090093",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.090093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.