DR. FRED R PRUITT (NPI# 1356361075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356361075 |
| Entity Type | Individual |
| Full Name | DR. FRED R PRUITT |
| Credential | M.D. |
| Practice Address |
550 Parmalee Ave Suite 310 Youngstown OH 44510 |
| Practice Telephone | 3307465576 |
| Practice Fax Number | 3307462955 |
| Mailing Telephone | 3307465576 |
| Mailing Fax Number | 3307462955 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35842 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0227481 | 05 | |
| OH | ANTHEM | 000000149029 | 01 |
| Street Address |
550 PARMALEE AVE SUITE 310 |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472817 | Bhargava Ravi | Internal Medicine | 550 Parmalee Ave, Suite 400, Youngstown, OH 44510-1602 | 2005-07-29 |
| 1205001708 | Nephrology Associates, Inc. | Internal Medicine | 550 Parmalee Ave, Suite 300, Youngstown, OH 44510-1602 | 2008-04-25 |
| 1063611309 | John R Becker Jr Md Inc | Psychiatry & Neurology | 550 Parmalee Ave, Suite 200, Youngstown, OH 44510-1602 | 2007-07-17 |
| 1578515425 | Digvijay Singh | Internal Medicine | 550 Parmalee Ave, Ste 210, Youngstown, OH 44510-1602 | 2006-05-17 |
| 1346216462 | Tahir Firdaus | Specialist | 550 Parmalee Ave, Suite 410, Youngstown, OH 44510-1602 | 2006-02-28 |
| 1093796427 | John R Becker Jr. | Psychiatry & Neurology | 550 Parmalee Ave, Ste 200, Youngstown, OH 44510-1602 | 2005-11-11 |
| 1477553535 | Sudhir Kumar Nallapaneni | Internal Medicine | 550 Parmalee Ave, Suite 400, Youngstown, OH 44510-1602 | 2005-07-29 |
| 1194725259 | Youngstown Internal Medicine, L.L.C. | Internal Medicine | 550 Parmalee Ave, Suite 100, Youngstown, OH 44510-1602 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889457 | Abolfazl Sodagar | Internal Medicine | 1001 Covington Street, Youngstown, OH 44510 | 2018-01-28 |
| 1285298422 | Kabir Kunwar | Internal Medicine | 1001 Covington Ave, Youngstown, OH 44510 | 2019-04-23 |
| 1861978603 | Fatemeh Dehghan Manshadi | Counselor | 611 Belmont Avenue, Youngstown, OH 44510 | 2018-07-16 |
| 1952780256 | Stephen Dominic Pupillo | Internal Medicine | 1001 Covington St, Youngstown, OH 44510 | 2015-05-20 |
| 1588005946 | Lisa J Cascarelli | Registered Nurse | 1001 Covington St, Youngstown, OH 44510 | 2013-07-15 |
| 1891041141 | Lillianne Stanitsas | Surgery | 1001 Covington St, Youngstown, OH 44510 | 2012-07-24 |
| 1912900341 | Scientific Medical Imaging, Inc. | Specialist | 540 Parmalee Ave, Suite 100, Youngstown, OH 44510 | 2005-05-31 |
| 1972128130 | Destiny Frost | Home Health Aide | 2749 Hammaker St, Youngstown, OH 44510-1037 | 2020-06-13 |
| 1225638547 | Sharell Shanta Williams | Nurse's Aide | 1102 Norwood Ave, Youngstown, OH 44510-1104 | 2020-10-27 |
| 1396965695 | Anthony Guy Gambone | Dentist | 813 Catalina Ave, Youngstown, OH 44510-1206 | 2007-04-27 |
| Find all providers in zip 44510 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| 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 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44510 |
Please comment or provide details below to improve the information on DR. FRED R PRUITT.
| 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.