DR. CARMELITA R REYES (NPI# 1770579724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770579724 |
| Entity Type | Individual |
| Full Name | DR. CARMELITA R REYES |
| Credential | DPM |
| Practice Address |
819 Mccartney Rd Youngstown OH 44505-5047 |
| Mailing Address |
28 Wildfern Dr Youngstown OH 44505-1662 |
| Practice Telephone | 3307467660 |
| Practice Fax Number | 3307468581 |
| Mailing Telephone | 3307597920 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2008-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36003113R | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEMBCBS | 000000229844 | 01 |
| OH | 2153717 | 05 |
| Street Address |
819 MCCARTNEY RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44505-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891780599 | Vern Michael Chuba | Podiatrist | 819 Mccartney Rd, Youngstown, OH 44505-5047 | 2005-09-19 |
| 1407960487 | Lk Pharmacy Inc | Pharmacy | 819 Mccartney Rd, Youngstown, OH 44505-5047 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558924365 | Kristina Terlecki | Massage Therapist | 32 Goldie Rd., Youngstown, OH 44505 | 2019-04-17 |
| 1669937108 | Melissa Ann Brian | Registered Nurse | 615 Churchill - Hubbard Rd., Youngstown, OH 44505 | 2019-02-08 |
| 1902376742 | Shamara Golden | Specialist/Technologist | 3415 5th Ave, Youngstown, OH 44505 | 2018-12-04 |
| 1366912933 | Valor Recovery Center | Substance Abuse Rehabilitation Facility | 45 North Canfield Niles Road, Youngstown, OH 44505 | 2018-11-27 |
| 1104333798 | Sherrell Lynn Moorer | Case Manager/Care Coordinator | 3164 Eastview Drive, Youngstown, OH 44505 | 2018-01-04 |
| 1154875888 | Aba Therapy Solutions | Community/Behavioral Health | 125 Churchill-hubbard Rd, Youngstown, OH 44505 | 2016-08-10 |
| 1871721530 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 200 Goldie Road, Youngstown, OH 44505 | 2009-07-01 |
| 1538254149 | Robert F. Accordino | Physical Therapist | 4531 Belmont Ave., Suite 5, Youngstown, OH 44505 | 2006-10-03 |
| 1659465862 | Union Eyes Optical, Inc | Technician/Technologist | 229 Churchill-hubbard Rd, Youngstown, OH 44505 | 2006-10-03 |
| 1124080239 | Giovanna Vinci-khoury | Specialist | 4970 Belmont Ave, Youngstown, OH 44505 | 2006-04-04 |
| Find all providers in zip 44505 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629261847 | Kyle Robert Wire | Podiatrist | 7558 Sugartree Dr, Youngstown, OH 44512-5430 | 2007-08-21 |
| 1649315037 | Associates Family Foot Care, LLC | Podiatrist | 3200 Belmont Ave, Youngstown, OH 44505-1862 | 2007-02-21 |
| 1720092182 | Associates Family Foot Care, LLC | Podiatrist | 32 Jacobs Rd, Youngstown, OH 44505-4908 | 2006-07-28 |
| 1891780599 | Vern Michael Chuba | Podiatrist | 819 Mccartney Rd, Youngstown, OH 44505-5047 | 2005-09-19 |
| 1992157788 | Derek Ley | Podiatrist | 8175 Market St, Youngstown, OH 44512 | 2016-07-06 |
| 1194189589 | Kiana Karbasi | Podiatrist | 1300 S Canfield Niles Rd, Youngstown, OH 44515-4081 | 2016-04-11 |
| 1194122903 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1265 Boardman Canfield Rd, Youngstown, OH 44512-4004 | 2014-11-21 |
| 1407252984 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 8175 Market St, Youngstown, OH 44512-6244 | 2014-11-12 |
| 1508262908 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 5170 Belmont Ave, Youngstown, OH 44505-1022 | 2014-11-12 |
| 1487050886 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 500 Gypsy Ln, Suite 201, Youngstown, OH 44504-1315 | 2014-11-12 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44505 |
Please comment or provide details below to improve the information on DR. CARMELITA R REYES.
| 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.