MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC (NPI# 1104304260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104304260 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC |
| Other Organization Name | MERCY HEALTH - COLUMBIANA PODIATRY |
| Practice Address |
107 Royal Birkdale Dr Ste A Columbiana OH 44408 |
| Mailing Address |
1044 Belmont Ave Youngstown OH 44504-1006 |
| Practice Telephone | 3304829350 |
| Practice Fax Number | 3304822336 |
| Mailing Telephone | 3308847010 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | DONALD E. KLINE (REGION CEO) |
| Authorized Official Telephone | 3308847010 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3136878 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Health - Columbiana Podiatry | Doing Business As Name - Organization |
| Prima Healthcare Columbiana | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750920245 | Mercy Health Physicians Youngstown LLC | Durable Medical Equipment & Medical Supplies | 835 Mckay Ct Ste 100, Boardman, OH 44512-5786 | 2019-12-31 |
| 1689152746 | Mercy Health Physicians Youngstown LLC | Durable Medical Equipment & Medical Supplies | 9471 Market St Ste A, North Lima, OH 44452 | 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 |
107 ROYAL BIRKDALE DR STE A |
| City | COLUMBIANA |
| State | OH |
| Zip Code | 44408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456319 | Thomas R Timko | Internal Medicine | 107 Royal Birkdale Dr Ste A, Columbiana, OH 44408-8493 | 2005-06-09 |
| 1326453010 | Matthew Michael Narducci | Podiatrist | 107 Royal Birkdale Dr Ste A, Columbiana, OH 44408-8493 | 2014-06-22 |
| 1306829031 | Andrew Edward Schmutz | Chiropractor | 107 Royal Birkdale Dr Ste A, Columbiana, OH 44408 | 2005-11-28 |
| 1871586040 | Lori Jean Grenich | Nurse Practitioner | 107 Royal Birkdale Dr Ste A, Columbiana, OH 44408 | 2005-08-23 |
| 1093710808 | David Nicholas Baer | Podiatrist | 107 Royal Birkdale Dr Ste A, Columbiana, OH 44408 | 2005-06-17 |
| 1902800865 | Richard A Simmons | Family Medicine | 107 Royal Birkdale Dr Ste A, Columbiana, OH 44408-8493 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942832084 | M1 Labs, LLC | Clinical Medical Laboratory | 1330 State Route 14, Columbiana, OH 44408 | 2020-02-06 |
| 1275736738 | Hearing Aids and Devices Inc | Hearing Aid Equipment | 905 St Rt 46, Columbiana, OH 44408 | 2007-06-11 |
| 1194933606 | Pm&r North, Inc. | Physical Medicine & Rehabilitation | 225 E State Route 14, Suite 206, Columbiana, OH 44408 | 2007-05-18 |
| 1558412817 | David M Vitko | Chiropractor | 840 E Park Ave, Columbiana, OH 44408 | 2007-01-15 |
| 1063579027 | Terry Jean Schreckengost | Licensed Practical Nurse | 14179 New Buffalo Rd, Columbiana, OH 44408 | 2007-01-02 |
| 1770662355 | Family Walgreen Drug Inc | Pharmacy | 120 S Vine St, Columbiana, OH 44408 | 2006-11-03 |
| 1336220003 | Homer L Skinner & Marc S Ucchino Ptrs | Family Medicine | 319 North Main Street, Main Medical Family Practice, Columbiana, OH 44408 | 2006-10-18 |
| 1447267984 | Lance R Peterson | Physical Therapist | 923 State Route 46, Columbiana, OH 44408 | 2006-08-01 |
| 1497757454 | Lori Anne Crowl | Family Medicine | 107 Royal Birkdale Dr, Columbiana, OH 44408 | 2005-06-02 |
| 1730632597 | Presley Maxwell | Pharmacist | 14973 South Ave, Columbiana, OH 44408 | 2016-07-28 |
| Find all providers in zip 44408 | ||||
| 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 |
|---|---|---|---|---|
| 1427529346 | Northern Ohio Medical Specialists, LLC | Durable Medical Equipment & Medical Supplies | 258 E State Route 14 Ste C, Columbiana, OH 44408-8502 | 2018-12-17 |
| 1336373893 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 21665 Highway 25, Columbiana, AL 35051-8600 | 2009-05-12 |
| 1013085182 | Terry Thompson | Durable Medical Equipment & Medical Supplies | 1115 Village Plz, Columbiana, OH 44408-8480 | 2006-11-30 |
| 1043313778 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 227 W College St, Columbiana, AL 35051-9724 | 2006-09-07 |
| 1811903123 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 14973 South Ave, Columbiana, OH 44408-9429 | 2006-07-31 |
| 1720632037 | Healme Inc | Durable Medical Equipment & Medical Supplies | 1108 Village Plz, Columbiana, OH 44408-8479 | 2019-07-25 |
| 1497193346 | Cobbler's Corner LLC | Durable Medical Equipment & Medical Supplies | 1115 Village Plz, Columbiana, OH 44408-8480 | 2013-06-12 |
| 1760643852 | Davis Drug Co Inc | Durable Medical Equipment & Medical Supplies | 111 S Main St, Columbiana, AL 35051 | 2008-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648601 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 225 Carlton Davidson Ln Rm 1, Coal Grove, OH 45638-2924 | 2020-10-27 |
| 1801494323 | Augusto S. Fojas, Dds | Durable Medical Equipment & Medical Supplies | 387 County Line Rd W Ste 125, Westerville, OH 43082-6077 | 2020-10-16 |
| 1316552185 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | 6950 Americana Pkwy Ste F, Reynoldsburg, OH 43068-4127 | 2020-09-09 |
| 1689286874 | Cornerstone Medical Services-midwest, LLC | Durable Medical Equipment & Medical Supplies | 25 Office Park Dr Ste B, Hamilton, OH 45013-1496 | 2020-08-19 |
| 1114538980 | Ryan Tullis | Durable Medical Equipment & Medical Supplies | 923 Vernon Odom Blvd, Akron, OH 44307-1315 | 2020-08-13 |
| 1750990362 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 7135 Sylvania Ave Ste 2a, Sylvania, OH 43560-5501 | 2020-07-29 |
| 1881203586 | Kind Medical Supply Company LLC | Durable Medical Equipment & Medical Supplies | 9257 W Sprague Rd Ste B, North Royalton, OH 44133-1208 | 2020-07-28 |
| 1164030037 | Yager Medical LLC | Durable Medical Equipment & Medical Supplies | 740 Yager Rd, New Franklin, OH 44216-9466 | 2020-07-16 |
| 1417574369 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4970 Belmont Ave Ste P, Youngstown, OH 44505-1018 | 2020-06-26 |
| 1417578972 | Steel City Medical Supplies | Durable Medical Equipment & Medical Supplies | 5900 Roche Dr Ste 315, Columbus, OH 43229-3292 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
| City | COLUMBIANA |
| Zip Code | 44408 |
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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.