OrganizationActive
Jacric
NPI 1366874414 · Vascular & Interventional Radiology Physician · Boardman, OH
Provider details
- NPI number
- 1366874414
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Loges, Partner(330) 629-9400
- License
- 35.070443 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
965 Windham Ct
Suite 2
Boardman, OH 44512-5088
Phone: (330) 629-9400
Fax: (330) 629-9441
Street-level locationGet directions
Mailing address
965 Windham Ct
Boardman, OH 44512-5088
Other names (DBA / former)
- Doing business as
- The Vein Center and Medspa
Registry dates
- Enumerated
- 2013-07-31
- Last updated
- 2013-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.