# CLEVELAND VASCULAR INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1871639146
- **Authorized official:** DR. JEFFREY A STANLEY D.O. (PHYSICIAN PRESIDENT)
- **Authorized official phone:** (216) 991-2600

## Contact information

- **Practice address:** 4100 WARRENSVILLE CENTER RD, SUITE 1002, WARRENSVILLE HEIGHTS, OH 44122-7024
- **Practice address phone:** (216) 991-2600
- **Mailing address:** 4100 WARRENSVILLE CENTER RD, SUITE 1002, WARRENSVILLE HEIGHTS, OH 44122-7024
- **Mailing address phone:** (216) 991-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 06/08/2011