DR. LUCAS MARK DAVANZO


Address: 7630 Southern Blvd, Youngstown, OH 44512-5633
Phone: 3307298000

DR. LUCAS MARK DAVANZO (NPI# 1437544905) 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) 1437544905
Entity Type Individual
Full Name DR. LUCAS MARK DAVANZO
Credential M.D.
Practice Address 7630 Southern Blvd
Youngstown
OH 44512-5633
Mailing Address 7629 Market St
Youngstown
OH 44512-6075
Practice Telephone 3307298000
Mailing Telephone 3309654559
Mailing Fax Number 6145661073
Enumeration Date 2015-04-01
Last Update Date 2020-06-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
35.139371 OH Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 7630 SOUTHERN BLVD
City YOUNGSTOWN
State OH
Zip Code 44512-5633

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265427603 Anthony James Candella Jr. Anesthesiology 7630 Southern Blvd, Youngstown, OH 44512-5633 2005-09-13
1932668399 Megan Anne Mcdermott Nurse Practitioner 7630 Southern Blvd, Youngstown, OH 44512-5633 2019-03-15
1962980912 Rachael Anne Visingardi Registered Nurse 7630 Southern Blvd, Youngstown, OH 44512-5633 2018-08-01
1053789123 Pamela Smith Nurse Practitioner 7630 Southern Blvd, Youngstown, OH 44512-5633 2015-09-08
1932442324 Lauren Marie Baluch Registered Nurse 7630 Southern Blvd, Youngstown, OH 44512 2013-04-03
1366709602 Joseph Williams Anesthesiology 7630 Southern Blvd, Youngstown, OH 44512-5633 2012-04-11
1063692069 Candace Stefancin Nurse Anesthetist, Certified Registered 7630 Southern Blvd, Youngstown, OH 44512-5633 2007-11-07
1265650949 Southwoods Anesthesia, LLC Anesthesiology 7630 Southern Blvd, Youngstown, OH 44512-5633 2007-04-20
1740398890 The Surgery Center At Southwoods, LLC Clinic/Center 7630 Southern Blvd, Youngstown, OH 44512-5633 2006-08-28
1528085479 Tracy Lynn Dovich Anesthesiology 7630 Southern Blvd, Youngstown, OH 44512-5633 2006-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285248740 Kimberly Vrabel Counselor 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 2020-09-02
1043830144 Steffi Lorraine D'souza Student in an Organized Health Care Education/Training Program 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 2020-04-20
1427677830 Shivani Sharma Family Medicine 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 2020-04-15
1417587825 Ronny Zetts Pharmacist 308 Boardman-canfield Rd, Boardman, OH 44512 2020-01-24
1285105080 Andrew Dawson Nurse Practitioner 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 2018-12-06
1700374949 Adam Leid Student in an Organized Health Care Education/Training Program St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 2018-04-24
1528574910 Herman Frank IIi Licensed Practical Nurse 920 Boardman Canfield Road, Boardman, OH 44512 2017-12-20
1730601980 Stephanie Ann Mathews Nurse Practitioner 7600 Southern Blvd #1, Boardman, OH 44512 2017-07-10
1417485079 Telka Ghobadi Family Medicine 8423 Market St., Suite 101, Boardman, OH 44512 2017-05-26
1356797534 Haroon Hussain Syed Student in an Organized Health Care Education/Training Program 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 2016-05-06
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366709602 Joseph Williams Anesthesiology 7630 Southern Blvd, Youngstown, OH 44512-5633 2012-04-11
1245518125 Jafri Mohammed Syed Anesthesiology 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 2011-07-27
1215118658 Mahoning Anesthesia Consultants, LLC Anesthesiology 7067 Tiffany Blvd, Suite 230, Youngstown, OH 44514-1993 2007-11-14
1265650949 Southwoods Anesthesia, LLC Anesthesiology 7630 Southern Blvd, Youngstown, OH 44512-5633 2007-04-20
1861560039 Martin Joseph Grennan Jr. Anesthesiology 1044 Belmont Ave, Youngstown, OH 44504-1006 2006-12-04
1841240116 Mike G Corfias Anesthesiology 7600 Southern Blvd, Suite 1, Youngstown, OH 44512-5633 2006-05-10
1649238072 Shawn Michael Donatelli Anesthesiology 7067 Tiffany Blvd, Suite 230, Youngstown, OH 44514-1993 2006-05-03
1982699021 Anjum Iqbal Anesthesiology 3622 Belmont Ave, Suite 1, Youngstown, OH 44505-1450 2005-09-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295347706 Adeeb Oweidat Anesthesiology 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 2020-08-18
1558749770 Mackenzie Pullee Anesthesiology 634 Sycamore St, Cincinnati, OH 45202-2535 2015-05-07
1366869380 Pyramid Physician Services LLC Anesthesiology 2680 Indian Ripple Rd, Beavercreek, OH 45440-3605 2014-03-27
1790126084 Hurricane Pain Management LLC Anesthesiology 174 Lake Bluff Dr, Columbus, OH 43235-4671 2013-07-15
1417218926 Andrew Bernard Collins Anesthesiology 3333 Burnet Ave # Mlc4009, Cincinnati, OH 45229-3026 2012-05-31
1518259597 Arion Alexander Smalley Anesthesiology 7759 University Dr Ste C, West Chester, OH 45069-6578 2011-05-09
1144529793 Adil O. Katabay, Md, LLC Anesthesiology 4967 Silverton Way, Dublin, OH 43016-7443 2011-03-22
1568788909 Lucasville Medical Specialist Anesthesiology 10940 State Route 104, Lucasville, OH 45648-8495 2010-04-09
1043464951 Brandon Harris Anesthesiology 4881 Sugar Maple Dr # Drivea, Wright Pat, OH 45433-5529 2008-11-06
1598930711 James Christopher Kelly Anesthesiology 222 N 5th St Ste 202, Martins Ferry, OH 43935-1582 2008-04-29
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Competitor

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City YOUNGSTOWN
Zip Code 44512

Improve Information

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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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