VINCENT J BERTIN (NPI# 1578504551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578504551 |
| Entity Type | Individual |
| Full Name | VINCENT J BERTIN |
| Credential | M.D. |
| Practice Address |
18660 Bagley Rd Phase II, Suite 201 Cleveland OH 44130-3480 |
| Practice Telephone | 4402430100 |
| Practice Fax Number | 4402437118 |
| Mailing Telephone | 4402430100 |
| Mailing Fax Number | 4402437118 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2010-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
045524 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0549893 | 05 |
| Street Address |
18660 BAGLEY RD PHASE II, SUITE 201 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44130-3480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746814 | Susan G Kasunick | Audiologist | 18660 Bagley Rd, Suite 404, Cleveland, OH 44130-3480 | 2005-08-09 |
| 1235554825 | Jennifer Mewhinney | Counselor | 18660 Bagley Rd, Medical Arts Building I, Suite 404, Cleveland, OH 44130-3483 | 2014-02-19 |
| 1851684427 | Katelyn M Shai | Counselor | 18660 Bagley Rd, Suite 204, Cleveland, OH 44130-3483 | 2011-05-16 |
| 1952599813 | Unni Pk Kumar Md Inc | Internal Medicine | 18660 Bagley Rd, Suite 501, Cleveland, OH 44130-3483 | 2007-10-04 |
| 1619160405 | Lisa A Boyd | Physical Therapist | 18660 Bagley Rd, Suite101, Cleveland, OH 44130-3483 | 2007-08-24 |
| 1639361710 | Katarina Stopko | Pediatrics | 18660 Bagley Rd, Ste 407, Cleveland, OH 44130-3483 | 2007-08-13 |
| 1114134194 | Joseph P Ferrini | Dentist | 18660 Bagley Rd, Bldg. I, Ste. 304, Cleveland, OH 44130-3483 | 2007-05-17 |
| 1225259500 | Jon P Kirlough | Dentist | 18660 Bagley Rd, Bldg. I, Ste. 304, Cleveland, OH 44130-3483 | 2007-05-02 |
| 1649491929 | Kirlough Family Dentistry, LLC | Dentist | 18660 Bagley Rd, Bldg I, Ste 304, Cleveland, OH 44130-3483 | 2007-05-02 |
| 1215155015 | Cleveland Breast Clinic | Surgery | 18660 Bagley Rd, Ste. 305 Bldg. 2, Cleveland, OH 44130-3483 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993459 | Matt Thompson | Surgery | Department of Vascular Surgery 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-05-14 |
| 1235541640 | Jon Garrett Quatromoni | Surgery | Mail Code F30 9500 Euclid Avenue, Cleveland, OH 44195-4238 | 2014-05-20 |
| 1336364991 | Christopher John Smolock | Surgery | Cleveland Clinic Department of Vascular, 9500 Euclid Ave, Mailcode: H32, Cleveland, OH 44195-0001 | 2007-04-17 |
| 1912916560 | Levester Kirksey | Surgery | 9300 Euclid Ave, Cleveland, OH 44195-3304 | 2006-08-05 |
| 1780206052 | Keith Matthew Garber | Surgery | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-05-10 |
| 1477100998 | Abdullah Mohammadrafiq I Abdullah | Surgery | 11100 Euclid Ave, Mailstop Lks 5038, Cleveland, OH 44106-1716 | 2019-08-20 |
| 1497101224 | Wadi Binsaddiq | Surgery | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-05-11 |
| 1497145585 | Juan Pablo Moreno Perez | Surgery | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2015-01-28 |
| 1538588272 | Gabriel Crowl | Surgery | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2014-04-09 |
| 1891137402 | Ravi Narendra Ambani | Surgery | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2013-07-24 |
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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.