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POLARIS VEIN CENTER NPI 1861014383


NPI Information

NPI: 1861014383
Provider Name: POLARIS VEIN CENTER

Other Name: AMANDA S. COOPER

Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
8100 RAVINES EDGE CT STE 100
COLUMBUS, OH
ZIP 43235
Phone: (614) 488-5090
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POLARIS VEIN CENTER is a vascular and interventional radiology radiology in Columbus, OH. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. POLARIS VEIN CENTER NPI is 1861014383. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Amanda S. Cooper.

The provider's business location address is:

8100 RAVINES EDGE CT STE 100
COLUMBUS, OH
ZIP 43235-426
Phone: (614) 488-5090
Fax: (614) 845-5216

The provider's authorized official is Amanda Suzanne Cooper .
The authorized official title is Dom and has the following contact phone number (614) 264-8970.

The enumeration date for this NPI number is 5/7/2020 and was last updated on 2/10/2021.


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
12085R0204XRadiologyVascular & Interventional RadiologyYes

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
12764101MEDICAIDOHIO

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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