Ohio Vascular Surgery Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

OHIO VASCULAR SURGERY INC

Practice address

941 Chatham Lane
Suite 215
Columbus, OH 43221-2416

Phone

(614) 457-5191

Fax

(614) 459-6874

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Stephen Lutter, MDNPI 1801865316

Title

Owner

Phone

(614) 457-5191

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

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

• Kenneth Stephen Lutter, MD

  • Vascular Surgery Physician
  • Columbus, OH
  • NPI 1801865316
  Medicare reassignment NPD Authorized official
• Thomas Hewitt Coleman, MD

  • Allergy & Immunology Physician
  • Columbus, OH
  • NPI 1245244631
  NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1487796207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 CHATHAM LANE",
            "address_2": "SUITE 215",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212416",
            "telephone_number": "614-457-5191",
            "fax_number": "614-459-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 CHATHAM LANE",
            "address_2": "SUITE 215",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212416",
            "telephone_number": "614-457-5191",
            "fax_number": "614-459-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VASCULAR SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "LUTTER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-457-5191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005627",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD5306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ohio Total Home Healthcare, LLC
• Ohio Transportation Resource and Shuttle Inc
• Ohio Urgent Care and Occupational Health LLC
• Ohio Urology, Inc.
• Ohio Valley Medical Supply Inc
• Ohio Vision Group Inc,
• Ohio Vision Therapy, LLC
• Ohio Wound & Infusion Services
• Ohio Youth Advocate Program
• Ohio-at-Home Health Care Agency

• Vascular Surgery Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Vascular Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.