Provider Type Icon

OHIO VASCULAR SURGERY INC NPI 1487796207


NPI Information

NPI: 1487796207
Provider Name: OHIO VASCULAR SURGERY INC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
941 CHATHAM LANE
SUITE 215
COLUMBUS, OH
ZIP 43221
Phone: (614) 457-5191
Get Directions

OHIO VASCULAR SURGERY INC is a vascular surgery surgery in Columbus, 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. OHIO VASCULAR SURGERY INC NPI is 1487796207. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

941 CHATHAM LANE
SUITE 215
COLUMBUS, OH
ZIP 43221-416
Phone: (614) 457-5191
Fax: (614) 459-6874

The provider's authorized official is Kenneth Stephen Lutter .
The authorized official title is Owner and has the following contact phone number (614) 457-5191.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 4/25/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CD5306OTHEROHIORR MEDICARE
22005627MEDICAIDOHIO

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.