Gerald Lee Wasko Jr. (NPI# 1265874267, PAC ID# 4587969175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265874267 |
| PAC ID by PECOS | 4587969175 |
| Professional Enrollment ID | I20160906002504 |
| Full Name | Gerald Lee Wasko Jr. |
| Organization Legal Name | MERCY HEALTH PHYSICIANS YOUNGSTOWN, LLC |
| Address |
5533 Mahoning Ave Suite A Austintown OH 44515-2366 |
| Phone Number | 3304802371 |
| Gender | M |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9234318270 |
| Number of Group Practice Members | 320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360064 | ST ELIZABETH YOUNGSTOWN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5533 Mahoning Ave, Suite A, Austintown, OH 44515-2366 | 3304802371 | MERCY HEALTH PHYSICIANS YOUNGSTOWN, LLC |
| Organization Legal Name | MERCY HEALTH PHYSICIANS YOUNGSTOWN, LLC |
| Physicians | 298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicolle Ann Hendrick | Physical Therapy | Mercy Health Physicians Youngstown, LLC | 835 Mckay Ct, Suite 100, Youngstown, OH 44512-5786 |
| Lori Lynn Leipheimer | Nurse Practitioner | Mercy Health Physicians Youngstown, LLC | 4694 Belmont Ave, Youngstown, OH 44505-1012 |
| Mohammad K Ali | Neurology | Mercy Health Physicians Youngstown, LLC | 905 Sahara Trl, Poland, OH 44514-3687 |
| Lindsey M Mellott | Family Medicine | Mercy Health Physicians Youngstown, LLC | 330 Wick Ave, Youngstown, OH 44503-1002 |
| Kristie Elizabeth Miller | Nurse Practitioner | Mercy Health Physicians Youngstown, LLC | 564 E 2nd St, Salem, OH 44460-2914 |
| Elizabeth M Sipusic | Obstetrics/gynecology | Mercy Health Physicians Youngstown, LLC | 1001 Covington St, Youngstown, OH 44510-1617 |
| Sean Clifford Reimer | General Surgery | Mercy Health Physicians Youngstown, LLC | 53 State St, Suite B, Struthers, OH 44471-1981 |
| Caitlin E Spillan | Physician Assistant | Mercy Health Physicians Youngstown, LLC | 9471 Market St, North Lima, OH 44452-8702 |
| Laura Leigh Miller | Family Medicine | Mercy Health Physicians Youngstown, LLC | 1053 Belmont Ave, Youngstown, OH 44504-1007 |
| John A Heintzelman | Family Medicine | Mercy Health Physicians Youngstown, LLC | 107 Royal Birkdale Dr, Suite A, Columbiana, OH 44408-8493 |
| Street Address |
5533 MAHONING AVE SUITE A |
| City | AUSTINTOWN |
| State | OH |
| Zip | 44515-2366 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian E Yeasted | Family Medicine | Mercy Health Physicians Youngstown, LLC | 5533 Mahoning Ave, Suite D, Austintown, OH 44515-2366 |
| Christopher Alan Raymond | Chiropractic | 5533 Mahoning Ave, C, Austintown, OH 44515-2366 | |
| William M Quirk Iii | Obstetrics/gynecology | 5533 Mahoning Ave, Suite D, Austintown, OH 44515-2366 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Johnson | Nurse Practitioner | On Demand Counseling LLC | 5760 Patriot Blvd, Suite C, Austintown, OH 44515-1170 |
| Theodore R Cubbison | Internal Medicine | On Demand Counseling LLC | 5760 Patriot Blvd, Suite C, Austintown, OH 44515-1170 |
| Carli Held | Physician Assistant | On Demand Counseling LLC | 5760 Patriot Blvd, Suite C, Austintown, OH 44515-1170 |
| Luis E Villaplana | Internal Medicine | 5760 Patriot Blvd, Suite B, Austintown, OH 44515-1170 | |
| Gregory Facemyer | Family Medicine | 5121 Mahoning Ave, Suite 201, Youngstown, OH 44515-1800 | |
| Nicolle Pascarella | Clinical Social Worker | Advanced Counseling Solutions LLC | 5204 Mahoning Ave, Suite 105, Youngstown, OH 44515-1808 |
| Christopher Rossvanes | Clinical Social Worker | Advanced Counseling Solutions LLC | 5204 Mahoning Ave, Suite 105, Youngstown, OH 44515-1808 |
| Jaymi Wendt | Clinical Social Worker | Advanced Counseling Solutions LLC | 5204 Mahoning Ave, Suite 105, Youngstown, OH 44515-1808 |
| Theresa Bohr | Clinical Social Worker | Advanced Counseling Solutions LLC | 5204 Mahoning Ave, Suite 105, Youngstown, OH 44515-1808 |
| Joseph Simons | Clinical Social Worker | Advanced Counseling Solutions LLC | 5204 Mahoning Ave, Suite 105, Youngstown, OH 44515-1808 |
| Find all physicians in zip 44515 | |||
| City | AUSTINTOWN |
| Zip Code | 44515 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | AUSTINTOWN + FAMILY MEDICINE |
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| 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.