Polaris Vein Center, LLC
Amanda S. Cooper · Radiology (Vascular & Interventional Radiology)

Address: 8100 Ravines Edge Ct Ste 100, Columbus, OH 43235-5426
Phone: 6144885090

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).

Provider Overview

Nation Provider Identifier (NPI) 1861014383
Entity Type Organization
Organization Name POLARIS VEIN CENTER, LLC
Other Organization Name AMANDA S. COOPER
Practice Address 8100 Ravines Edge Ct Ste 100
Columbus
OH 43235-5426
Practice Telephone 6144885090
Practice Fax Number 6148455216
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 2020-11-18

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085R0204X Radiology · Vascular & Interventional Radiology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Identifier Issuer Type Code
OH 2764101 MEDICAID

Other Provider/Organization Names

Other Name Type Code
Amanda S. Cooper Other Name - Individual/Organization

Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1619049459 Amanda S. Cooper Radiology 8100 Ravines Edge Ct Ste 100, Columbus, OH 43235-5426 2006-11-15
1083144976 Ashley Sweeney Radiology 395 W 12th Ave, Columbus, OH 43210 2017-06-14
1285046672 Alexandre Larue Da Silva Radiology 395 W 12th Ave Fl 4, Columbus, OH 43210-1267 2014-05-20
1780002238 James Kingsbury II Radiology 395 W 12th Ave Fl 4, Columbus, OH 43210-1267 2014-04-02
1073938171 Columbus Vascular Care LLC Radiology 6503 E Broad St, Columbus, OH 43213-1692 2014-02-26
1629338645 Michael Robert Cline Radiology 395 W 12th Ave Fl 4, Columbus, OH 43210-1267 2012-05-23
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
Find all providers in COLUMBUS

Office Location

Street Address 8100 RAVINES EDGE CT STE 100
City COLUMBUS
State OH
Zip Code 43235-5426

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619049459 Amanda S. Cooper Radiology 8100 Ravines Edge Ct Ste 100, Columbus, OH 43235-5426 2006-11-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194323261 Herbert G Gebert Chore Provider 864 Garehouse Lane, Columbus, OH 43235 2020-10-12
1306488119 Emily Belcher Case Manager/Care Coordinator 2540 Billingsley Road, Columbus, OH 43235 2019-10-14
1013576677 Sara Michel Behavior Technician 200 East Campus View Boulevard, Suite 200, Columbus, OH 43235 2019-06-07
1902368756 Ability Chiropractic Lewis Center LLC Chiropractor 6329 Pullman Dr, Lewis Center, OH 43235 2019-04-02
1003390790 Keith L Warren Sr. Counselor 7400 Huntington Dr, 7400 Huntington Dr, Columbus, OH 43235 2018-09-19
1497240907 Mary Crouser Case Manager/Care Coordinator 7690 New Market Way, Columbus, OH 43235 2018-06-27
1164910923 Sarah Clark Dietitian, Registered 8100 Ravines Edge Court, Columbus, OH 43235 2018-04-27
1700394921 Amanda Daniel Specialist/Technologist 8375 Freedom Crossing Rd Unit J, Columbus, OH 43235 2018-01-22
1528579075 Inxite Florida LLC Case Management 1 E Campus View Blvd Ste 320, Columbus, OH 43235 2017-10-23
1194243170 Ohio Medical Transportation, Inc. Ambulance 2827 West Dublin-granville Road, Columbus, OH 43235 2017-08-30
Find all providers in zip 43235

Competitor

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City COLUMBUS
Zip Code 43235

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Dataset Information

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.