DR. EUGENE MENNOW II (NPI# 1972809259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972809259 |
| Entity Type | Individual |
| Full Name | DR. EUGENE MENNOW II |
| Credential | D.C |
| Practice Address |
914 Trailwood Dr Boardman OH 44512-5007 |
| Mailing Address |
914 Trailwood Drive Boardman OH 44512 |
| Practice Telephone | 3307586440 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC010518 | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE CROSS BLUE SHIELD | 002678882 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 490 N Kerrwood Dr, Suite 204, Hermitage, PA 161485202 | 7243427778 |
| 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 |
| 1710130018 | Joseph B Masternick Do Inc | General Practice | 914 Trailwood Dr, Boardman, OH 44512-5007 | 2008-10-30 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477972164 | Kyle Seth Muir | Chiropractor | 1280 Boardman Canfield Rd Ste 1, Boardman, OH 44512-4073 | 2014-04-10 |
| 1649610676 | Backs and Us, LLC | Chiropractor | 362 Boardman Poland Rd, Boardman, OH 44512-4934 | 2013-07-05 |
| 1023331816 | Canfield Chiropractic Health Center, Inc. | Chiropractor | 7240 Glenwood Ave Ste 3, Boardman, OH 44512-4800 | 2010-03-08 |
| 1366692113 | Advanced Chiropractic and Rahabilitation, LLC | Chiropractor | 1315 Boardman Canfield Rd Ste 3, Boardman, OH 44512-4075 | 2008-09-29 |
| 1043467715 | John Allan Esarco II | Chiropractor | 7505 California Ave Ste A, Boardman, OH 44512-5618 | 2008-08-25 |
| 1942334222 | Suzanne M Shaw | Chiropractor | 362 Boardman-poland Road, Boardman, OH 44512-4934 | 2007-03-16 |
| 1295894525 | Wellnessone of Boardman | Chiropractor | 843 Boardman Canfield Rd, Boardman, OH 44512 | 2006-12-06 |
| 1609940147 | David Paul Esarco | Chiropractor | 7505 California Ave, Suite B, Boardman, OH 44512 | 2006-11-17 |
| 1689774176 | James G Leone | Chiropractor | 6775 Applewood Blvd., Boardman, OH 44512-4940 | 2006-09-24 |
| 1447277215 | Gregory Scott Dew | Chiropractor | 914 Trailwood Dr, Boardman, OH 44512-5007 | 2006-07-16 |
| Find all providers in BOARDMAN | ||||
Please comment or provide details below to improve the information on DR. EUGENE MENNOW II.
| 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.