Vasily N Tsuper, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

298587 Issued in OH

Practice address

573 Tollis Pkwy
Broadview HTS, OH 44147-1809

Phone

(444) 237-5224

NPI assigned

Apr 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730306606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 TOLLIS PKWY",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441471809",
            "telephone_number": "444-237-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 TOLLIS PKWY",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441471809",
            "telephone_number": "444-237-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUPER",
        "first_name": "VASILY",
        "middle_name": "N",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "298587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Stevens, M.D.
• Susan Ann Stoffko, P.T.
• Vincent P Sustersic, D.O.
• Connie Sue Tezie, DNP, CNP
• The Selig Group (Synergy HomeCare)
• Maureen Tyrrell, MA,CCC,SLP
• University Primary Care Practices
• University Primary Care Practices Inc (UHMP Saridakis and Loyke)
• Larissa Venditti
• Scott Steven Whitney, DMD

• Registered Nurse in Broadview HTS, OH
• Providers in Broadview HTS, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.