CENTER FOR ADVANCED VEIN CARE LLC
NPI 1477979391
Emergency Medicine in Mentor, OH

NPI Status: Active since March 17, 2014

Contact Information

7200 MENTOR AVENUE
MENTOR, OH
ZIP 44060
Phone: (440) 710-1140

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  • Organization
  • Emergency Medicine
  • CLIA Number: 36D2061372
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 08-27-2026

About CENTER FOR ADVANCED VEIN CARE LLC

This page provides the complete NPI Profile along with additional information for Center For Advanced Vein Care Llc, a provider established in Mentor, Ohio operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1477979391 assigned on March 2014. The practitioner's primary taxonomy code is 207P00000X with license number 35074522 (OH). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Sonja Stiller Md (President)

NPI
1477979391
Provider Name
CENTER FOR ADVANCED VEIN CARE LLC
Entity Type
Organization
Location Address
7200 MENTOR AVENUE MENTOR, OH 44060
Location Phone
(440) 710-1140
Mailing Address
7200 MENTOR AVENUE MENTOR, OH 44060
Mailing Phone
(440) 710-1140
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-17-2014
Last Update Date
09-09-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
35074522
License State
OH
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SONJA STILLER MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(440) 710-1140

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2061372
Facility Type
Mobile Laboratory
Certificate Effective Date
August 28, 2024
Certificate Expiration Date
August 27, 2026
Laboratory Director
DR. YUAN SHAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Center For Advanced Vein Care Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477979391, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 8 + 7 + 1 + 8 + 3 + 1 + 8 + 24 = 79

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1477979391.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477979391, enumerated as an "organization" on March 17, 2014.

The provider is located at 7200 MENTOR AVENUE MENTOR, OH 44060 and the phone number is (440) 710-1140.

Emergency Medicine with taxonomy code 207P00000X.