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WESTERN RESERVE VASCULAR INSTITUTE
NPI 1104082031
Surgery - Vascular Surgery in Boardman, OH

Active since July 30, 2008
813 KENTWOOD DR, BOARDMAN, OH 44512(330) 953-3515(330) 953-0313 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Western Reserve Vascular Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN RESERVE VASCULAR INSTITUTE (NPI 1104082031) is a healthcare organization registered as a vascular surgery in Boardman, Ohio and active in the NPI registry since July 2008. The organization lists Joseph G Protain, Dr., as its authorized official.

NPPES Registry Identity

NPI1104082031
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameWESTERN RESERVE VASCULAR INSTITUTE
Location Address813 KENTWOOD DRBoardman, OH 44512-5004
Mailing Address813 Kentwood DrBoardman, OH 44512-5004 · (330) 953-3515 · Fax (330) 953-0313
Phone(330) 953-3515
Fax(330) 953-0313
Organization SubpartNo
Authorized OfficialJoseph G ProtainDr. · (330) 953-3515
Enumeration DateJuly 30, 2008
Last NPPES UpdateJune 6, 2014
✔ NPI 1104082031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in OH · 34-008446
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

813 KENTWOOD DR, Boardman, OH 44512
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Other Identifiers 3

Medicaid2688846OH
Medicare UPINI58195OH
Medicare PIN9377741OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH G PROTAIN DO
Surgery (Vascular Surgery)
813 KENTWOOD DR
BOARDMAN, OH 44512
Mahoning County (330) 953-3513
DR. NICHOLAS FRANK AGNESI M.D.
Surgery (Vascular Surgery)
813 KENTWOOD DR
BOARDMAN, OH 44512
Mahoning County (330) 533-1570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western Reserve Vascular Institute's NPI number?

The NPI number for Western Reserve Vascular Institute is 1104082031. It was assigned to this organization in the NPPES registry on July 30, 2008.

Where is Western Reserve Vascular Institute located?

Western Reserve Vascular Institute is located at 813 Kentwood Dr, Boardman, OH 44512. The listed phone number is (330) 953-3515.

What is Western Reserve Vascular Institute's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

What insurance does Western Reserve Vascular Institute accept?

Health plans from CareSource list Western Reserve Vascular Institute as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Western Reserve Vascular Institute was last updated on June 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.