WESTERN RESERVE VASCULAR INSTITUTE – Vascular Surgery Physician, NPI 1104082031

WESTERN RESERVE VASCULAR INSTITUTE is a healthcare provider. based in Boardman, Ohio. specializing in Vascular Surgery Physician. The organization holds a License No. 34-008446 (OH). The NPI Number for WESTERN RESERVE VASCULAR INSTITUTE is 1104082031

Main info

Organization
Name
WESTERN RESERVE VASCULAR INSTITUTE
NPI
1104082031
Phone
(330) 953-3515
Address
813 KENTWOOD DR
Authorized Official
JOSEPH G PROTAIN DR. D.O
Enumeration Date
30 July 2008
Last Update Date
6 June 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for WESTERN RESERVE VASCULAR INSTITUTE

  • 813, Kentwood Drive, Applewood, Boardman, Mahoning County, Ohio, 44512, United States

    BOARDMAN, OH 445125004

    Phone: (330) 953-3515

    Fax: (330) 953-0313

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44512)

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Reviews

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Frequently asked questions

What identifier follows WESTERN RESERVE VASCULAR INSTITUTE across health systems?
The NPI 1104082031 uniquely identifies WESTERN RESERVE VASCULAR INSTITUTE in U.S. healthcare data.
Quick check: is WESTERN RESERVE VASCULAR INSTITUTE active?
Public NPPES data shows WESTERN RESERVE VASCULAR INSTITUTE with an active NPI status right now.
What does the directory say WESTERN RESERVE VASCULAR INSTITUTE does?
Insurance directories may phrase it differently, but here WESTERN RESERVE VASCULAR INSTITUTE maps to Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to WESTERN RESERVE VASCULAR INSTITUTE?
WESTERN RESERVE VASCULAR INSTITUTE is associated with Boardman, Ohio in the same public data insurers reference.
Can I export WESTERN RESERVE VASCULAR INSTITUTE's record?
You can download the official NPPES record; we summarize key fields for readability.

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