Cleveland West Vascular Care, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CLEVELAND WEST VASCULAR CARE, LLC

Practice address

23709 Center Ridge Rd Ste 101
Westlake, OH 44145-3612

Phone

(216) 516-8401

NPI assigned

Mar 3, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Ambulatory surgical center certification: CCN 36C0001360

Legal name

Cleveland West Vascular Care LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jul 10, 2024

Last certification

Jun 27, 2024

Ownership / control type

Proprietary

Facility address

23709 Center ridge Road, Suite 101
Westlake, OH 44145

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Preferred Vascular Services Cleveland LLC

  • Vascular Surgery Physician
  • Beachwood, OH
  • NPI 1346734365

  Member Of

  NPD member

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1629778287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 CORSEA DEL FONTANA WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094397",
            "telephone_number": "239-597-2010",
            "fax_number": "239-597-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23709 CENTER RIDGE RD STE 101",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453612",
            "telephone_number": "216-516-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND WEST VASCULAR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cleveland Clinic Children'S Hospital for Rehabilitation
• Cleveland Clinic Foundation
• Cleveland Dermatology Group LLC
• Cleveland Feeding and Swallowing Center LLC
• Cleveland Therapy Group
• Clough Consultants and Speech Therapy, Inc.
• Amy Marie Dillon Cody, MSW, LISW
• Rachel Elizabeth Coe, D.O.
• Hannah Kathleen Colatruglio, MA, COBA
• Valerie Coldren, CNP

• Ambulatory Surgical Clinic/Center in Westlake, OH
• Providers in Westlake, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.