Phyllis M Trust (NPI# 1194085811, PAC ID# 0143485383) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194085811 |
| PAC ID by PECOS | 0143485383 |
| Professional Enrollment ID | I20120713000100 |
| Full Name | Phyllis M Trust |
| Organization Legal Name | ENDOCRINOLOGY ASSOCIATES OF OHIO, LLC |
| Address |
3694 Starrs Centre Dr Canfield OH 44406-9514 |
| Phone Number | 3307021310 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0446286330 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360064 | ST ELIZABETH YOUNGSTOWN HOSPITAL |
| 360185 | SALEM REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3694 Starrs Centre Dr, Canfield, OH 44406-9514 | 3307021310 | ENDOCRINOLOGY ASSOCIATES OF OHIO, LLC |
| Organization Legal Name | ENDOCRINOLOGY ASSOCIATES OF OHIO, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Derosa | Endocrinology | Endocrinology Associates of Ohio, LLC | 3694 Starrs Centre Dr, Canfield, OH 44406-9514 |
| Mary Lou Dale | Physician Assistant | Endocrinology Associates of Ohio, LLC | 3694 Starrs Centre Dr, Canfield, OH 44406-9514 |
| Jill R Barton | Nurse Practitioner | Endocrinology Associates of Ohio, LLC | 3694 Starrs Centre Dr, Canfield, OH 44406-9514 |
| Street Address |
3694 STARRS CENTRE DR |
| City | CANFIELD |
| State | OH |
| Zip | 44406-9514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Derosa | Endocrinology | Endocrinology Associates of Ohio, LLC | 3694 Starrs Centre Dr, Canfield, OH 44406-9514 |
| Mary Lou Dale | Physician Assistant | Endocrinology Associates of Ohio, LLC | 3694 Starrs Centre Dr, Canfield, OH 44406-9514 |
| Jill R Barton | Nurse Practitioner | Endocrinology Associates of Ohio, LLC | 3694 Starrs Centre Dr, Canfield, OH 44406-9514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher G Economus | Family Medicine | Mercy Health Physicians Youngstown, LLC | 61 Talsman Dr, Canfield, OH 44406-1207 |
| Katy Shurilla | Physician Assistant | Mercy Health Physicians Youngstown, LLC | 61 Talsman Dr, Canfield, OH 44406-1207 |
| Thomas Joseph Rudnicki | Internal Medicine | Mercy Health Physicians Youngstown, LLC | 61 Talsman Dr, Canfield, OH 44406-1207 |
| Michael F Ambrose | Optometry | 61 Talsman Dr, Canfield, OH 44406-1207 | |
| Daniel S Dankovich | Chiropractic | 111 S Broad St, Suite 5, Canfield, OH 44406-1400 | |
| William Bartels | Family Medicine | 459 Lisbon St, Canfield, OH 44406-1424 | |
| Terri Liller | Clinical Social Worker | 132 S Broad St, Suite 204a, Canfield, OH 44406-1437 | |
| Thomas L Goodrich | Physical Therapy | Nbj Outpatient Therapy LLC | 510 W Main St, Canfield, OH 44406-1454 |
| Kathleen M Boyarko | Physical Therapy | Nbj Outpatient Therapy LLC | 510 W Main St, Canfield, OH 44406-1454 |
| Tina Griffiths | Physical Therapy | Nbj Outpatient Therapy LLC | 510 W Main St, Suite B, Canfield, OH 44406-1454 |
| Find all physicians in zip 44406 | |||
| City | CANFIELD |
| Zip Code | 44406 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CANFIELD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Phyllis M Trust.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.