Polaris Vein Center, LLC (NPI# 1861014383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1861014383 |
| Entity Type | Organization |
| Organization Name | POLARIS VEIN CENTER, LLC |
| Practice Address |
1120 Polaris Pkwy Ste 110 Columbus OH 43240-4042 |
| Practice Telephone | 6142648970 |
| Mailing Address |
1120 Polaris Pkwy Ste 110 Columbus OH 43240-4042 |
| Mailing Telephone | 6142648970 |
| Authorized Official Name | Amanda Suzanne Cooper (DOM) |
| Authorized Official Telephone | 6142648970 |
| Authorized Official Credential | MD |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 2085R0204X | Radiology · Vascular & Interventional Radiology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Amanda S. Cooper | Other Name - Individual/Organization |
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343315 | Vascular Institute of Columbus, LLC. | Radiology | 6503 E Broad St Ste 200, Columbus, OH 43213-1693 | 2019-08-28 |
| 1134407158 | Columbus Vascular Center, LLC | Radiology | 4519 Woodruff Rd. Unit 17, Columbus, GA 31904 | 2011-07-25 |
| 1083144976 | Ashley Sweeney | Radiology | 395 W 12th Ave, Columbus, OH 43210 | 2017-06-14 |
| 1073938171 | Columbus Vascular Care LLC | Radiology | 6503 E Broad St, Columbus, OH 43213-1692 | 2014-02-26 |
| 1750692943 | Matthew David Brocone | Radiology | 395 W 12th Ave, Columbus, OH 43210-1267 | 2010-06-23 |
| 1386878155 | David Rand Kirtland | Radiology | 100 E Campus View Blvd, Columbus, OH 43235-4647 | 2009-05-08 |
| 1184840290 | Brian Schirf | Radiology | 3525 Olentangy River Rd, Ste 5360, Columbus, OH 43214-3937 | 2007-04-17 |
| 1619049459 | Amanda S. Cooper | Radiology | 3525 Olentangy River Rd, Suite 5360, Columbus, OH 43214-3937 | 2006-11-15 |
| 1861444598 | Michael Scott Harron | Radiology | 3525 Olentangy River Rd, Suite 5360, Columbus, OH 43214-3937 | 2006-05-17 |
| 1508817990 | Hooman Khabiri | Radiology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2006-05-12 |
| Find all providers in COLUMBUS | ||||
| Street Address |
1120 POLARIS PKWY STE 110 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43240-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093376600 | Joseph Benne | Chiropractor | 8922 Lyra Dr, Columbus, OH 43240 | 2019-06-25 |
| 1184284176 | Atone Chiropractic, LLC | Clinic/Center | 8922 Lyra Dr., Columbus, OH 43240 | 2019-06-20 |
| 1467934802 | Stacey M Henry | Counselor | 8276 Tegmen St, Columbus, OH 43240 | 2018-09-02 |
| 1568825933 | Abigail Garnett | Speech-Language Pathologist | 8425 Pulsar Place, Suite 160, Columbus, OH 43240 | 2016-04-01 |
| 1629409479 | Amy Avery | Counselor | 8862 Commerce Loop Dr, Columbus, OH 43240 | 2013-12-04 |
| 1245678499 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 8999 Gemini Pkwy Ste 220, Columbus, OH 43240 | 2013-06-10 |
| 1306195995 | Dr. Eric E. Neader, Inc. | Optometrist | 1500 Polaris Parkway, Suite # 1234, Columbus, OH 43240 | 2012-08-29 |
| 1477838282 | Nicholas P Colla | Pharmacist | 1040 Polaris Parkway, Columbus, OH 43240 | 2011-10-13 |
| 1588809958 | Gemini Medicine LLC | General Practice | 1510 Gemini Place, Columbus, OH 43240 | 2008-12-12 |
| 1932364296 | Justine Nnantege Ssebaggala | Licensed Practical Nurse | 9015 Barley Loft Drive, Columbus, OH 43240 | 2008-07-25 |
| Find all providers in zip 43240 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.