Healthcare Provider Details

I. General information

NPI: 1467084269
Provider Name (Legal Business Name): VEIN CENTER OF CINCINNATI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2020
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7426 BEECHMONT AVE UNIT 212
CINCINNATI OH
45255-4105
US

IV. Provider business mailing address

PO BOX 32160
LOUISVILLE KY
40232-2160
US

V. Phone/Fax

Practice location:
  • Phone: 513-232-2400
  • Fax: 513-232-2401
Mailing address:
  • Phone: 305-642-6593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW HEARN
Title or Position: OWNER
Credential: MD
Phone: 513-232-2400