Individual provider Active NPI

Paul Frank Vanek Jr., MD, FACS

  • Specialist
  • Concord Township, OH
National Provider Identifier
1730256967
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-07-0303 Issued in OH
Practice address
7537 Fredle Dr
Concord Township, OH 44077-9406
Phone
(440) 205-5750
Fax
(440) 853-1674
NPI assigned
Nov 30, 2006
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-07-0303 OH Primary

Addresses

Primary practice location

7537 Fredle Dr
Concord Township, OH 44077-9406

Mailing address

7537 Fredle Dr
Concord Township, OH 44077-9406
Phone (440) 205-5750

Other identifiers 2

IdentifierTypeStateIssuer
31-1539899OtherOHTAX ID#
2024026MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040604000261 OH Practitioner - Plastic and Reconstructive Surgery 7416939707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Rochester School of Medicine and Dentistry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul F Vanek Jr M D IncGroup PAC ID 9335121623, 2 clinicians

Practice addresses (Care Compare)

7537 Fredle Dr
Concord TWP, OH 44077-9406
Phone (440) 205-5750

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions13
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Paul F Vanek Jr M D Inc Specialist CurrentSince Mar 1, 2004 Accepting new patients

Locations

7537 Fredle Dr
Concord Township, OH 44077
Phone (440) 205-5750

9485 Mentor Ave
Ste 100
Mentor, OH 44060
Phone (440) 205-5750

Interoperability endpoints

  • Direct secure messaging: pvanek220048@ehrdirect.uhhospitals.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1730256967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7537 FREDLE DR",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-205-5750",
            "fax_number": "440-853-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7537 FREDLE DR",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-205-5750",
            "fax_number": "440-853-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEK",
        "first_name": "PAUL",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-07-0303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "31-1539899",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024026",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord Township, OH

Sources for this page

Verify at the official NPI Registry.