Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Western Reserve Vascular Institute

Organization Vascular Surgery Physician · NPI 1104082031

Western Reserve Vascular Institute is a Vascular Surgery Physician 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
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