Healthcare Provider Details

I. General information

NPI: 1184931032
Provider Name (Legal Business Name): ANCA CODRUTA VLASIE MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2010
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 COLUMBIA RD STE 101
WESTLAKE OH
44145-1461
US

IV. Provider business mailing address

805 COLUMBIA RD STE 109
WESTLAKE OH
44145-1461
US

V. Phone/Fax

Practice location:
  • Phone: 440-292-0226
  • Fax: 440-292-0225
Mailing address:
  • Phone: 440-799-4224
  • Fax: 440-799-4228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number57.014332
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number35097319
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: