# WARREN ENDOVASCULAR ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730799347
- **Authorized official:** MRS. HEATHER M VITVITSKY RN (VICE PRESIDENT)
- **Authorized official phone:** (304) 374-7754

## Contact information

- **Practice address:** 1950 NILES CORTLAND RD NE STE 12, WARREN, OH 44484-1077
- **Practice address phone:** (330) 282-6301
- **Practice address fax:** (330) 451-5764
- **Mailing address:** 330 RED ROCK RUN, CORTLAND, OH 44410-9491
- **Mailing address phone:** (304) 374-7754
- **Mailing address fax:** (330) 451-5764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2020
- **Last updated:** 08/22/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0143870 | — | OH |
| 01 | — | 1578507299 | NPPES | — |
| 01 | — | 35.082483 | MEDICAL LICENSE | OH |