MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC (NPI# 1750920245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750920245 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC |
| Other Organization Name | MERCY HEALTH - BOARDMAN ORTHOPAEDICS |
| Practice Address |
835 Mckay Ct Ste 100 Boardman OH 44512-5786 |
| Practice Telephone | 3307584399 |
| Practice Fax Number | 3307588995 |
| Mailing Telephone | 3307584399 |
| Mailing Fax Number | 3307588995 |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | OLIVIA DACRE (CFO, MEDICAL GROUP) |
| Authorized Official Telephone | 4192519650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Mercy Health - Boardman Orthopaedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689152746 | Mercy Health Physicians Youngstown LLC | Durable Medical Equipment & Medical Supplies | 9471 Market St Ste A, North Lima, OH 44452 | 2018-08-01 |
| 1104304260 | Mercy Health Physicians Youngstown LLC | Clinic/Center | 107 Royal Birkdale Dr Ste A, Columbiana, OH 44408 | 2018-08-01 |
| 1558849612 | Mercy Health Physicians Youngstown LLC | Clinic/Center | 564 E 2nd St, Salem, OH 44460 | 2018-08-01 |
| 1679012538 | Mercy Health Physicians Youngstown LLC | Radiology | 1932 Niles Cortland Rd Ne, Warren, OH 44484-1055 | 2017-02-13 |
| 1194264069 | Mercy Health Physicians Youngstown LLC | Occupational Therapist | 1932 Niles Cortland Rd Ne, Warren, OH 44484-1055 | 2017-02-13 |
| 1306019344 | Mercy Health Physicians Youngstown LLC | Dentist | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2008-04-10 |
| Street Address |
835 MCKAY CT STE 100 |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-5786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801875737 | John A Capple | Physical Therapist | 835 Mckay Ct Ste 100, Boardman, OH 44512-5786 | 2006-01-10 |
| 1467065813 | Marycatherine Horne | Occupational Therapist | 835 Mckay Ct Ste 100, Boardman, OH 44512-5786 | 2020-08-26 |
| 1467091751 | Mark James Colaluca | Nurse Practitioner | 835 Mckay Ct Ste 100, Boardman, OH 44512-5786 | 2020-01-03 |
| 1083251342 | Shannon Lee Montgomery | Occupational Therapist | 835 Mckay Ct Ste 100, Boardman, OH 44512-5786 | 2019-12-05 |
| 1255989836 | Nicolle Ann Hendrick | Physical Therapist | 835 Mckay Ct Ste 100, Boardman, OH 44512-5786 | 2019-08-28 |
| 1598312696 | Stacia Jo Macchia | Occupational Therapist | 835 Mckay Ct Ste 100, Boardman, OH 44512-5786 | 2019-08-22 |
| 1588229116 | Michael John Sturgiss | Physical Therapist | 835 Mckay Ct Ste 100, Boardman, OH 44512-5786 | 2019-05-09 |
| 1255782744 | Marshall Hunter Berkeley | Physical Therapist | 835 Mckay Ct Ste 100, Boardman, OH 44512-5786 | 2016-06-26 |
| 1639561822 | Sara Jessica Zatchok | Physician Assistant | 835 Mckay Ct Ste 100, Boardman, OH 44512-5786 | 2015-02-24 |
| 1245427269 | Patrick Lee Mccarthy | Physical Therapist | 835 Mckay Ct Ste 100, Boardman, OH 44512 | 2007-10-03 |
| Find all providers in the same location | ||||
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628437 | John A Flauto Dpm LLC | Durable Medical Equipment & Medical Supplies | 7010 South Ave Ste 3, Boardman, OH 44512-3603 | 2020-04-24 |
| 1679930564 | New Life Hearing Aid Center, Inc. | Durable Medical Equipment & Medical Supplies | 888 Boardman-canfield Rd, Suite B, Boardman, OH 44512 | 2016-01-22 |
| 1659515815 | Therapy Support, Inc. | Durable Medical Equipment & Medical Supplies | 4300 Simon Rd, Boardman, OH 44512-1326 | 2009-04-30 |
| 1588790679 | Health Care Solutions At Home Inc. | Durable Medical Equipment & Medical Supplies | 6961 Southern Blvd, Ste B, Boardman, OH 44512-4653 | 2007-02-26 |
| 1902958655 | Primus Medical L.l.c | Durable Medical Equipment & Medical Supplies | 388 Mcclurg Rd Ste 1, Boardman, OH 44512-6427 | 2007-01-16 |
| 1255491833 | Boardman Medical Supply Co | Durable Medical Equipment & Medical Supplies | 404 Boardman Canfield Rd, Boardman, OH 44512-4703 | 2006-12-12 |
| 1811090541 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 7230 Market St, Boardman, OH 44512-4513 | 2006-09-07 |
| 1770598799 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7295 Market St, Boardman, OH 44512-4556 | 2006-07-29 |
| 1467474171 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 417 Boardman Poland Rd, Boardman, OH 44512-4907 | 2006-07-24 |
| 1396762498 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 6361 South Ave, Boardman, OH 44512-3619 | 2006-07-16 |
| Find all providers in BOARDMAN | ||||
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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.