NPIMap

Organization Active NPI

Smith Vein Institute LLC

  • Phlebology Physician
  • Concord Township, OH
National Provider Identifier
1609190982
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
3506461 Issued in OH
Legal business name
SMITH VEIN INSTITUTE LLC
Practice address
7536 Fredle Dr
Concord Township, OH 44077-9406
Phone
(440) 853-8208
Fax
(216) 370-3249
NPI assigned
Mar 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Dr. David G Smith, M.D.NPI 1316980246
Title
Owner
Phone
(440) 853-8208

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
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X 3506461 OH Primary
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X 35064610 OH

Addresses

Primary practice location

7536 Fredle Dr
Concord Township, OH 44077-9406

Mailing address

7515 Fredle Dr
Painesville, OH 44077-9406
Phone (440) 853-8208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100913000590 OH Part B Supplier - Clinic/Group Practice 4486779543 Receives reassigned benefits from 3 practitioners
Practice locations: Painesville, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1609190982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 FREDLE DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-853-8208",
            "fax_number": "216-370-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7536 FREDLE DR",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-853-8208",
            "fax_number": "216-370-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH VEIN INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-853-8208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "OH",
            "license": "3506461",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OH",
            "license": "35064610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.