Paul F Vanek Jr M D Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35-07-0303 Issued in OH

Legal business name

PAUL F VANEK JR M D INC

Practice address

7537 Fredle Dr
Concord TWP, OH 44077-9406

Phone

(440) 205-5750

Fax

(440) 853-1674

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Frank Vanek Jr., MD, FACSNPI 1730256967

Title

Owner

Phone

(440) 205-5750

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

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

• Paul Frank Vanek Jr., MD, FACS

  • Specialist
  • Concord Township, OH
  • NPI 1730256967
  Medicare reassignment Care Compare group NPD Authorized official
• Carli Ruth Siegel, NP

  • Family Nurse Practitioner
  • Lyndhurst, OH
  • NPI 1437660404
  Medicare reassignment Care Compare group NPD
• Lynnette K Prokop, PA

  • Surgical Physician Assistant
  • Memphis, TN
  • NPI 1205292497
  NPD (past)
• Paul Stephen Thesiger, M.D.

  • Specialist
  • Chevy Chase, MD
  • NPI 1306929625
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1932261963",
    "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 TWP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-205-5750",
            "fax_number": "440-853-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL F VANEK JR M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "VANEK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-205-5750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-07-0303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024026",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine M Novotny, NP-C
• Jordan Oddis
• Ohio Permanente Medical Group
• Jacqueline Owens, RN
• Stanley Carter Pace, MD
• Sonja Elaine Peckham, CNP
• Susan Perdue Schultz, CNP
• Julie Pokersnik, M.D.
• Kerry Anne Rihtar, WAIVER PROVIDER
• Ronald Ross, P.T.

• Specialist in Concord TWP, OH
• Providers in Concord TWP, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.