PAUL W WATANAKUNAKORN


Address: 20 Ohltown Rd, Youngstown, OH 44515-2331
Phone: 3307979705

PAUL W WATANAKUNAKORN (NPI# 1275563462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275563462
Entity Type Individual
Full Name PAUL W WATANAKUNAKORN
Credential M.D.
Practice Address 20 Ohltown Rd
Youngstown
OH 44515-2331
Practice Telephone 3307979705
Practice Fax Number 3302705997
Mailing Telephone 3307979705
Mailing Fax Number 3302705997
Enumeration Date 2006-07-03
Last Update Date 2008-04-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 35076990 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH UNITED HEALTHCARE 407998 01
OH RAILROAD MEDICARE P00013192 01
OH 2300585 05
OH HOMETOWN Q034637 01
OH ANTHEM BC/BS 000000280876 01
OH HEALTH ASSURANCE 225394 01
OH CARESOURCE 341341025030 01
OH HIGHMARK BC/BS PA 001467940 01
OH SUMMACARE Z76990 01

Office Location

Street Address 20 OHLTOWN RD
City YOUNGSTOWN
State OH
Zip Code 44515-2331

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184611287 Anthony S Lattanzio Family Medicine 20 Ohltown Rd, Suite 2f, Youngstown, OH 44515-2331 2005-10-04
1639547086 Jennifer L. Barrett Nurse Practitioner 20 Ohltown Rd, Youngstown, OH 44515-2331 2015-09-02
1538353883 Trumbull Mahoning Medical Group, Inc. Family Medicine 20 Ohltown Rd, Youngstown, OH 44515-2331 2007-08-30
1558494500 Mri Cooperative Clinic/Center 20 Ohltown Rd, Youngstown, OH 44515-2331 2007-03-13
1245380948 James F Shina Md LLC Internal Medicine 20 Ohltown Rd, Youngstown, OH 44515-2331 2007-01-12
1689769838 Lawrence I. Schmetterer, Md, Facs, Inc. Specialist 20 Ohltown Rd, Ste. 206, Youngstown, OH 44515-2331 2006-10-04
1497848154 Lawrence I Schmetterer Specialist 20 Ohltown Rd, Ste 204, Youngstown, OH 44515-2331 2006-10-02
1821003674 Susan Woods Md Dermatology Inc Dermatology 20 Ohltown Rd, Youngstown, OH 44515-2331 2006-07-30
1902830573 Jeffrey D Resch Internal Medicine 20 Ohltown Rd, Youngstown, OH 44515-2331 2006-07-10
1013960319 Susan G Woods Dermatology 20 Ohltown Rd, Youngstown, OH 44515-2331 2006-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811505423 Kelly Lynn Gargas Registered Nurse 1051 N Canfiled Niles Rd, Austintown, OH 44515 2020-07-20
1184241648 Tashandi Magnus Counselor 45 N. Canfield Niles Rd., Austintown, OH 44515 2020-07-01
1255829925 Edward M Vancise Counselor 2902 Penny Lane, Austintown, OH 44515 2018-04-27
1932627940 Erin Michelle Rodgers Occupational Therapist 331 N. Yorkshire Blvd., Austintown, OH 44515 2017-08-30
1598281180 Kathryn Elizabeth Pontius Home Health 209 North Yorkshire Blvd, Austintown, OH 44515 2017-08-16
1508387515 Ashley Bryant Registered Nurse 1355 Maplecrest Dr, Youngstown, OH 44515 2017-06-29
1306384706 Joyce Owens Behavior Technician 238 S. Meridian Rd., Austintown, OH 44515 2017-02-06
1982057493 Renee K Morgan Social Worker 5204 Mahoning Ave Ste 105, Austintown, OH 44515 2016-07-20
1609266808 Regina Leigh Cowell Physical Therapist 1450 South Canfield-niles Rd., Youngstown, OH 44515 2015-01-27
1942624507 Susan Hogan Speech-Language Pathologist 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 2014-02-18
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316567209 Maria Veronica De Torres Mirano-de Guzman Internal Medicine St. Elizabeth Youngstown Hospital, Department of Medic, 1044 Belmont Ave, Youngstown, OH 44501 2020-04-21
1659900827 Arrsh Bajaj Internal Medicine St. Elizabeth Youngstown Hospital, 1044 Belmont Ave, Youngstown, OH 44501 2020-04-08
1851920656 Suzanne Elise Maddamma Internal Medicine Dept of Medical Education 1044 Belmont Ave, Youngstown, OH 44504-1006 2020-04-03
1700376050 Charmaine Clarisse Dequito Abalos Internal Medicine 1044 Belmont Avenue., Youngstown, OH 44501 2018-05-12
1750889457 Abolfazl Sodagar Internal Medicine 1001 Covington Street, Youngstown, OH 44510 2018-01-28
1174979157 Hiyam Abdelmagid Internal Medicine 1001 Covington Ave., Youngstown, OH 44504 2016-05-10
1144634833 Venkateswara Kumar Kollipara Internal Medicine St. Elizabeth Health Center, 1044 Belmont Ave, Youngstown, OH 44501-1790 2014-06-20
1124469408 Abhay Sharma Internal Medicine 465 Gypsy Ln Apt 503, Youngstown, OH 44504-1366 2013-07-15
1538458583 Elias Issa Internal Medicine 475 Gypsy Ln, Apt#4, Youngstown, OH 44504-1340 2011-03-30
1184943730 Saurabh Dahiya Internal Medicine 465 Gypsy Ln Apt 404, Youngstown, OH 44504-1365 2010-05-21
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City YOUNGSTOWN
Zip Code 44515

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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