DR. RICHARD SCOTT MAYO (NPI# 1720089576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720089576 |
| Entity Type | Individual |
| Full Name | DR. RICHARD SCOTT MAYO |
| Credential | D.D.S. |
| Practice Address |
750 Boardman Poland Rd Boardman OH 44512-5137 |
| Practice Telephone | 3307267838 |
| Practice Fax Number | 3307260766 |
| Mailing Telephone | 3307267838 |
| Mailing Fax Number | 3307260766 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2016-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
30018777 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICAL MUTUAL OF OHIO | 303057646 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285615518 | Richard A Mayo | Orthopaedic Surgery | 75 Washington St, Norwell, MA 02061-9147 | 2005-11-14 |
| Street Address |
750 BOARDMAN POLAND RD |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-5137 |
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598914475 | Andrew W Bushey | Dentist | 7081 West Blvd Ste 1, Boardman, OH 44512-4362 | 2008-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740846559 | Daniel Schwartz, Dmd, Md, LLC | Dentist | 23250 Chagrin Blvd Ste 205, Beachwood, OH 44122-5416 | 2019-05-16 |
| 1649834144 | William W. Francis Dds, LLC | Dentist | 27500 Detroit Rd Ste 104, Suite 104, Westlake, OH 44145-5913 | 2019-04-30 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1285041186 | Ahmad Ali Millwala Dmd Oral and Maxillofacial Surgery Co | Dentist | 2846 Double Eagle Dr, Beavercreek, OH 45431-4709 | 2014-07-14 |
| 1427489566 | Thomas Gerosky, D.m.d. Inc | Dentist | 215 Miller Road, Avon Lake, OH 44012 | 2013-11-27 |
| 1346685195 | Matthew Thomas Marshall | Dentist | 3075 Smith Rd Ste 102, Fairlawn, OH 44333-4453 | 2013-05-07 |
| 1629329198 | Amherst Oral Surgery and Implant Center LLC | Dentist | 550 N Leavitt Rd, Amherst, OH 44001-1131 | 2012-09-25 |
| 1568710655 | Manraj S. Bath, Dds, Inc. | Dentist | 1575 Cross Creeks Blvd., Pickerington, OH 43147 | 2012-08-21 |
| 1467707018 | Matthew Aaron Popper | Dentist | 5825 Landerbrook Dr Ste 125, Cleveland, OH 44124 | 2012-07-19 |
| 1548534415 | Bushey Oral and Maxillofacial Surgery, Inc. | Dentist | 7081 West Blvd., Suite 1, Youngstown, OH 44512 | 2012-02-24 |
| Find all providers with the same taxonomy | ||||
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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.