Amanda S. Cooper

LBN: Polaris Vein Center
Amanda S. Cooper is an health care organization with primary practice located at 8100 Ravines Edge Ct Ste 100 , Columbus OH 43235-5426. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as the primary health care specialty. Polaris Vein Center can be contacted via phone (614) 488-5090, or through Cooper, Amanda Suzanne via phone (614) 264-8970.

Contact Information

Primary practice address
8100 Ravines Edge Ct Ste 100 Columbus OH 43235-5426
Phone: (614) 488-5090
Fax: (614) 845-5216
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Amanda Suzanne Doctor of Medicine (MD)
Phone: (614) 264-8970

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X

Profile Details

NPI number 1861014383
LBN Legal business name Polaris Vein Center
DBA Doing business as Amanda S. Cooper
Authorized official Cooper, Amanda Suzanne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2020
Last updated Feb 10th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861014383 NPPES
Ohio MEDICAID 2764101

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