JOSEPH B MASTERNICK DO INC (NPI# 1710130018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710130018 |
| Entity Type | Organization |
| Organization Name | JOSEPH B MASTERNICK DO INC |
| Practice Address |
914 Trailwood Dr Boardman OH 44512-5007 |
| Mailing Address |
Po Box 14290 Poland OH 44514-7290 |
| Practice Telephone | 3307584568 |
| Practice Fax Number | 3307585683 |
| Mailing Telephone | 3307584568 |
| Mailing Fax Number | 3307585683 |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2010-05-03 |
| Authorized Official Name | LORETTA BURNICH (OFFICE MANAGER) |
| Authorized Official Telephone | 3307584568 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 34-00-2093 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
914 TRAILWOOD DR |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447277215 | Gregory Scott Dew | Chiropractor | 914 Trailwood Dr, Boardman, OH 44512-5007 | 2006-07-16 |
| 1972809259 | Eugene Mennow II | Chiropractor | 914 Trailwood Dr, Boardman, OH 44512-5007 | 2011-02-02 |
| 1255402277 | R. Martin Matiscik | Chiropractor | 914 Trailwood Dr, Boardman, OH 44512-5007 | 2006-11-13 |
| 1417058009 | Physicians Diagnostic & Rehabilitation Center Inc | Physical Medicine & Rehabilitation | 914 Trailwood Dr, Boardman, OH 44512-5007 | 2006-09-26 |
| 1669491569 | Joseph Burton Masternick | Family Medicine | 914 Trailwood Dr, Boardman, OH 44512-5007 | 2006-07-19 |
| 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 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659722171 | Mercy Health Physicians | General Practice | 8423 Market St, Boardman, OH 44512-6778 | 2016-06-27 |
| 1548671860 | Serhat Erzurum | General Practice | 7206 Market St Ste A, Boardman, OH 44512-4562 | 2014-05-09 |
| 1669687760 | Walter J Passarello, Do LLC | General Practice | 8064 South Ave, Boardman, OH 44512-6153 | 2007-05-11 |
| 1912906413 | John Lowe Dunne Jr. | General Practice | 1265 Boardman Canfield Rd, Boardman, OH 44512-4004 | 2005-07-18 |
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| 1265078497 | Jaime L Go Md Inc | General Practice | 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 | 2019-11-22 |
| 1558902809 | Wecare Health Clinic Group, LLC | General Practice | 8918 Reading Rd, Cincinnati, OH 45215-3228 | 2019-10-07 |
| 1063062354 | Independent Physical Medicine LLC | General Practice | 3469 W Elm St, Lima, OH 45807-2226 | 2019-09-18 |
| 1861041535 | Allied Medical Integration, LLC | General Practice | 7067 Tiffany Blvd Ste 280, Poland, OH 44514-1803 | 2019-09-05 |
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| 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.