Provider Demographics
NPI:1366483786
Name:CIEMINS, VILNIS A (MD)
Entity Type:Individual
Prefix:DR
First Name:VILNIS
Middle Name:A
Last Name:CIEMINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:24651 CENTER RIDGE RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5635
Mailing Address - Country:US
Mailing Address - Phone:440-895-5056
Mailing Address - Fax:440-333-2935
Practice Address - Street 1:25200 CENTER RIDGE ROAD
Practice Address - Street 2:SUITE 2100
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145
Practice Address - Country:US
Practice Address - Phone:440-331-4053
Practice Address - Fax:440-331-4073
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-0244642084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0060455Medicaid
000000605057OtherANTHEM
000000605057OtherANTHEM
OH0357114Medicare PIN