Organization Active NPI

The Vein Center, LLP

  • Vascular Surgery Physician
  • Boardman, OH
National Provider Identifier
1962693457
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35-05-5300-M Issued in OH
Legal business name
THE VEIN CENTER, LLP
Practice address
965 Windham CT
Suite 2
Boardman, OH 44512-5088
Phone
(330) 629-9400
Fax
(330) 629-9441
NPI assigned
Aug 8, 2007
Last updated
Nov 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Richard Allen Michaels, M.D.NPI 1720086648
Title
Partner
Phone
(330) 629-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35-05-5300-M OH Primary

Addresses

Primary practice location

965 Windham CT
Suite 2
Boardman, OH 44512-5088

Mailing address

965 Windham CT
Suite 2
Boardman, OH 44512-5088
Phone (330) 629-9400

Other identifiers 2

IdentifierTypeStateIssuer
0526658MedicaidOH
P00225437OtherOHMDCR RR

National Provider Directory

National Provider Directory

Locations

970 Windham Ct
Ste 3
Boardman, OH 44512
Phone (216) 782-7700

965 Windham Ct
Ste 2
Youngstown, OH 44512
Phone (330) 629-9400

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1962693457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 WINDHAM CT",
            "address_2": "SUITE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125088",
            "telephone_number": "330-629-9400",
            "fax_number": "330-629-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 WINDHAM CT",
            "address_2": "SUITE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125088",
            "telephone_number": "330-629-9400",
            "fax_number": "330-629-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VEIN CENTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "330-629-9400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35-05-5300-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0526658",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR RR",
            "identifier": "P00225437",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.