Center for Advanced Vein Care LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35074522 Issued in OH

Legal business name

CENTER FOR ADVANCED VEIN CARE LLC

Practice address

7200 Mentor Avenue
Mentor, OH 44060

Phone

(440) 710-1140

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Sonja Stiller, MDNPI 1316922255

Title

President

Phone

(440) 710-1140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20605/brand/1/csg/1/fhir/r4

Practitioners 4

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

• Sonja R Stiller, M.D.

  • Phlebology Physician
  • Mentor, OH
  • NPI 1316922255
  Medicare reassignment Authorized official
• Robert E Botti Jr., M.D.

  • Cardiovascular Disease Physician
  • Mentor, OH
  • NPI 1841285376
  NPD (past)
• M. Barry Siegel, M.D.

  • Nephrology Physician
  • Mayfield HTS, OH
  • NPI 1689773830
  NPD (past)
• Khendi T White Solaru, M.D.

  • Cardiovascular Disease Physician
  • Mentor, OH
  • NPI 1780946293
  NPD (past)

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1477979391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 MENTOR AVENUE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "440-710-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 MENTOR AVENUE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "440-710-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED VEIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "STILLER",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-710-1140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35074522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J Castrovinci, M.D.
• Stephanie Cattron, ED.S.
• Michelle Ann Cawley, NP-C
• Holly Joy Cayia, CT
• Richard J Cederlund
• Center for Dialysis Care Home Care, LTD. (CDC Home Care Mentor)
• Center for Molecular Cancer Diagnostics, Inc (Core Bio Labs)
• Jacqueline Macy Cerar, D.D.S.
• Laura Anne Cernosky I, LISW-S
• Norman J Cerny Jr., LSW

• Emergency Medicine Physician in Mentor, OH
• Providers in Mentor, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.