Polaris Vein Center, LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

POLARIS VEIN CENTER, LLC

Practice address

121 W Wilson Bridge Rd Ste 310
Worthington, OH 43085-2702

Phone

(614) 488-5090

Fax

(614) 845-5216

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Amanda Suzanne Cooper, MDNPI 1619049459

Title

Dom

Phone

(614) 264-8970

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Akribis Veins & Vitality Doing business as
• Amanda S. Cooper Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda S. Cooper, MD

  • Vascular & Interventional Radiology Physician
  • Columbus, OH
  • NPI 1619049459
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1861014383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W WILSON BRIDGE RD STE 310",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852702",
            "telephone_number": "614-488-5090",
            "fax_number": "614-845-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W WILSON BRIDGE RD STE 310",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852702",
            "telephone_number": "614-488-5090",
            "fax_number": "614-845-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS VEIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "DOM",
        "authorized_official_telephone_number": "614-264-8970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2764101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Akribis Veins & Vitality",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amanda S. Cooper",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Amanda S. Cooper",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Scott David Podolan, RPH
• Manilyn Mae Virtudazo Pogoso
• Madison Pohle
• Suzanne Marie Pohlman, CRNFA
• Brandie Poindexter
• Matt Polston
• Sally Marie Popa
• Hannah Marie Popovec, M.A., CCC-SLP
• Amara Porter
• Tommy Porter

• Vascular & Interventional Radiology Physician in Worthington, OH
• Providers in Worthington, OH by specialty
• Vascular & Interventional Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.