Cleveland Vascular Institute, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

CLEVELAND VASCULAR INSTITUTE, LLC

Practice address

4100 Warrensville Center Rd
Suite 1002
Warrensville Heights, OH 44122-7024

Phone

(216) 991-2600

NPI assigned

Jan 30, 2007

Last updated

Jun 8, 2011By 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

Dr. Jeffrey A Stanley, D.O.

Title

Physician President

Phone

(216) 991-2600

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Ann Duggan, M.D.

  • Vascular Surgery Physician
  • Cleveland, OH
  • NPI 1487660999
  NPD (past)
• Jason Fried, DO

  • Vascular Surgery Physician
  • Conway, SC
  • NPI 1275575201
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1871639146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 1002",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441227024",
            "telephone_number": "216-991-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 1002",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441227024",
            "telephone_number": "216-991-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND VASCULAR INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "216-991-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2981144",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DA6647",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Citynews Ohio, Inc
• Cleveland Clinic Health System - East Region (South Pointe Hospital)
• Cleveland Clinic Health System - East Region (South Pointe Hospital)
• Cleveland Clinic Health System - East Region (South Pointe Hospital)
• Cleveland Clinic Health System - East Region (South Pointe Hospital)
• Michael Cline, DO
• Christina Ladawn Cloud
• Jamisha Coachman
• Chani Coady
• Yelena Cohen

• Vascular Surgery Physician in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• Vascular Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.