Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Western Reserve Vascular Institute

Organization Vascular Surgery Physician · NPI 1104082031

Western Reserve Vascular Institute provides Vascular Surgery Physician services in Boardman, Ohio. Licensed in Ohio. Registered with an NPI since 2008.

Licensed in
OH
In the registry since
2008
Specialties on file
2

Practice location Address checks out

813 Kentwood Dr
Boardman, OH 44512-5004 Not confirmed with CMS for 12 years — call before visiting
Phone: (330) 953-3515
Fax: (330) 953-0313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X (OH)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 34-008446 (OH)

Record details

NPI number1104082031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Protain — Dr. · (330) 953-3515
NPI enumeratedJuly 30, 2008
Last updated in NPPESJune 6, 2014
Mailing address813 Kentwood Dr, Boardman, OH 44512-5004

Other providers in Boardman