Cleveland East Vascular Care, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CLEVELAND EAST VASCULAR CARE, LLC

Practice address

23650 Commerce Park Ste a
Beachwood, OH 44122-5817

Phone

(216) 273-8010

Fax

(216) 378-9005

NPI assigned

Jun 29, 2017

Last updated

Feb 5, 2026By the provider in NPPES

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

Listed as

Cleveland East Vascular Care LLCCCN 36C0001318

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Cleveland East Vascular Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Cleveland East Vascular Care, LLC

  • Ambulatory Surgical Clinic/Center
  • Beachwood, OH
  • NPI 1518555382
  NPD tax ID
• Cleveland East Vascular Care, LLC

  • Vascular & Interventional Radiology Physician
  • Beachwood, OH
  • NPI 1912245853
  NPD tax ID

Member of 1

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

• Preferred Vascular Services Cleveland LLC

  dba Preferred Vascular Services Cleveland

  • Vascular Surgery Physician
  • Beachwood, OH
  • NPI 1346734365

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1720509722",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23650 COMMERCE PARK STE A",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225817",
            "telephone_number": "216-273-8010",
            "fax_number": "216-378-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND EAST VASCULAR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cleveland Clinic Children's Hospital for Rehabilitation
• Cleveland Clinic Foundation (Cleveland Clinic Beachwood Family Health Center)
• Cleveland Clinic Foundation (Sports Health At The Jewish Community C)
• Cleveland Counseling Center
• Cleveland East Vascular Care, LLC
• Cleveland East Vascular Care, LLC
• Cleveland Eye Care & Surgery, Inc.
• Cleveland Family Therapy LLC
• Cleveland Hearing & Balance Center Inc
• Cleveland Kidney Disease Associates

• Ambulatory Surgical Clinic/Center in Beachwood, OH
• Providers in Beachwood, 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 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.