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REGIONAL VASCULAR & VEIN INSTITUTE NPI 1003094897


NPI Information

NPI: 1003094897
Provider Name: REGIONAL VASCULAR & VEIN INSTITUTE

Doing Business As: REGIONAL SURGICAL SPECIALISTS, INC

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
6046 WHIPPLE AVE NW STE 203
NORTH CANTON, OH
ZIP 44720
Phone: (330) 588-8900
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REGIONAL VASCULAR & VEIN INSTITUTE is a vascular surgery surgery in North Canton, OH. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. REGIONAL VASCULAR & VEIN INSTITUTE NPI is 1003094897. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Regional Surgical Specialists, Inc.

The provider's business location address is:

6046 WHIPPLE AVE NW STE 203
NORTH CANTON, OH
ZIP 44720-616
Phone: (330) 588-8900
Fax: (330) 588-8990

The provider's authorized official is Jeffrey T Prem .
The authorized official title is President and has the following contact phone number (330) 602-7702.

The enumeration date for this NPI number is 2/5/2008 and was last updated on 4/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryOHIONo
22086S0129XSurgeryVascular SurgeryOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12267676MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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