Nelson Vein and Surgical Services LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NELSON VEIN AND SURGICAL SERVICES LLC

Practice address

30915 Lorain Rd
Suite 100
North Olmsted, OH 44070-4722

Phone

(440) 617-6061

Fax

(440) 617-6065

NPI assigned

Apr 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dvora NelsonNPI 1821098187

Title

Sole Owner

Phone

(440) 315-7830

Specialties & licenses 1

Addresses

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.

• Dvora Y Nelson, M.D.

  • Surgery Physician
  • North Olmsted, OH
  • NPI 1821098187
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1902122161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30915 LORAIN RD",
            "address_2": "SUITE 100",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704722",
            "telephone_number": "440-617-6061",
            "fax_number": "440-617-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30915 LORAIN RD",
            "address_2": "SUITE 100",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704722",
            "telephone_number": "440-617-6061",
            "fax_number": "440-617-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON VEIN AND SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DVORA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "440-315-7830",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Duff-Boehm, PH.D., & Associates, LLC
• Nancy Duff-Boehm, PHD & Asssociates LLC
• Walid Nasser
• National Vision Inc
• Suzanne Katrina Neforos
• Dvora Y Nelson, M.D.
• Dung Nguyen, PHARMD
• Katie Nguyen, PHARMD
• Ingrid Dierdre Nolan
• Bassam Nooman, RN

• Surgery Physician in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.