Organization Active NPI

USA Vein Clinics of Cleveland LLC

  • Vascular Surgery Physician
  • Fairlawn, OH
National Provider Identifier
1992204077
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
USA VEIN CLINICS OF CLEVELAND LLC
Practice address
3618 W Market St Ste 102
Fairlawn, OH 44333-2425
Phone
(330) 237-9880
Fax
(224) 235-4652
NPI assigned
Feb 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Flora Katsnelson, M.D.
Title
Owner
Phone
(847) 772-0089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

3618 W Market St Ste 102
Fairlawn, OH 44333-2425

Mailing address

304 Wainwright Dr
Northbrook, IL 60062-1900
Phone (847) 593-8460

Other practice location 1

6655 Seville Dr
Canfield, OH 44406-9143
Phone (330) 286-9804

Other practice location 2

5000 E Market St Ste 31
Warren, OH 44484-2259
Phone (234) 308-6098

Other practice location 3

397 Churchill Hubbard Rd
Youngstown, OH 44505-1375
Phone (330) 272-9449

Other practice location 4

7050 Engle Rd Ste 102
Middleburg Heights, OH 44130-8406
Phone (440) 673-3490

Other practice location 5

4368 Dressler Rd NW Ste 101
Canton, OH 44718-2776
Phone (330) 313-3228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180412000946 OH Part B Supplier - Clinic/Group Practice 0143583716 Receives reassigned benefits from 2 practitioners
Practice locations: Canfield, OH; Canton, OH; Fairlawn, OH; Middleburg Heights, OH

National Provider Directory

National Provider Directory

Locations

7050 Engle Rd
Ste 102
Middleburg Heights, OH 44130
Phone (440) 234-5000

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1992204077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WAINWRIGHT DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621900",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 W MARKET ST STE 102",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332425",
            "telephone_number": "330-237-9880",
            "fax_number": "224-235-4652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6655 Seville Dr",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444069143",
            "country_code": "US",
            "telephone_number": "330-286-9804",
            "fax_number": "224-235-4652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 E Market St Ste 31",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444842259",
            "country_code": "US",
            "telephone_number": "234-308-6098",
            "fax_number": "224-235-4652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "397 Churchill Hubbard Rd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445051375",
            "country_code": "US",
            "telephone_number": "330-272-9449",
            "fax_number": "224-235-4652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7050 Engle Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441308406",
            "country_code": "US",
            "telephone_number": "440-673-3490",
            "fax_number": "224-235-4652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4368 Dressler Rd NW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182776",
            "country_code": "US",
            "telephone_number": "330-313-3228",
            "fax_number": "224-235-4652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "USA VEIN CLINICS OF CLEVELAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-772-0089",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.