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WARREN ENDOVASCULAR ASSOCIATES LLC NPI 1730799347


NPI Information

NPI: 1730799347
Provider Name: WARREN ENDOVASCULAR ASSOCIATES LLC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
1950 NILES CORTLAND RD NE STE 12
WARREN, OH
ZIP 44484
Phone: (330) 282-6301
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WARREN ENDOVASCULAR ASSOCIATES LLC is a thoracic surgery cardiothoracic vascular surgery in Warren, OH. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. WARREN ENDOVASCULAR ASSOCIATES LLC NPI is 1730799347. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1950 NILES CORTLAND RD NE STE 12
WARREN, OH
ZIP 44484-077
Phone: (330) 282-6301
Fax: (330) 451-5764

The provider's authorized official is Heather M Vitvitsky .
The authorized official title is Vice President and has the following contact phone number (304) 374-7754.

The enumeration date for this NPI number is 8/7/2020 and was last updated on 8/22/2023.


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
1207RI0011XInternal MedicineInterventional CardiologyNo
22086S0129XSurgeryVascular SurgeryNo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

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
135.082483OTHEROHIOMEDICAL LICENSE
20143870MEDICAIDOHIO
31578507299OTHERNPPES

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

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