COMMUNITY MEDICAL ASSOC LLC (NPI# 1184761405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184761405 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL ASSOC LLC |
| Practice Address |
1450 S Canfield Niles Rd Youngstown OH 44515 |
| Practice Telephone | 3307998752 |
| Practice Fax Number | 3307998754 |
| Mailing Telephone | 3307998752 |
| Mailing Fax Number | 3307998754 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | DANIEL A. MILLER (OWNER/PRACTICE MANAGER) |
| Authorized Official Telephone | 3307998752 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | OH | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM GROUP NUMBER | 000000179839 | 01 |
| OH | 2588203 | 05 |
| Street Address |
1450 S CANFIELD NILES RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134569346 | Jessica Eve Reiter | Internal Medicine | 1450 S Canfield Niles Rd, Youngstown, OH 44515-4085 | 2013-07-02 |
| 1366775207 | Daniel A Miller Md, LLC | Family Medicine | 1450 S Canfield Niles Rd, Youngstown, OH 44515-4083 | 2009-09-10 |
| 1649465733 | Community Medical Associates | Family Medicine | 1450 S Canfield Niles Rd, Youngstown, OH 44515-4083 | 2007-09-11 |
| 1649254731 | Gregg Loren Bogen | Surgery | 1450 S Canfield Niles Rd, Suite D, Youngstown, OH 44515-4083 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
| 1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
| 1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
| 1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
| 1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
| 1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
| 1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
| 1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
| 1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
| 1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
| Find all providers in zip 44515 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083233373 | Madiha Amjad Ali | Family Medicine | 1044 Belmont Ave, St. Elizabeth Youngstown Hospital, De, Youngstown, OH 44504-1006 | 2020-04-16 |
| 1730664558 | Bruce Willner Do LLC | Family Medicine | 3622 Belmont Ave Ste 18, Youngstown, OH 44505-1444 | 2018-09-27 |
| 1265874267 | Gerald Wasko Jr. | Family Medicine | 330 Wick Ave, Youngstown, OH 44503-1002 | 2013-07-19 |
| 1174867485 | Clark Conner White II | Family Medicine | 4482 Little Johns Pl, Youngstown, OH 44511-3630 | 2012-11-27 |
| 1588925457 | Triad Health Services, LLC | Family Medicine | 7629 Market St, Suite 200, Youngstown, OH 44512-6028 | 2012-06-06 |
| 1134411069 | Adam D Rhodes | Family Medicine | 3551 Belmont Ave Ste 19b, Youngstown, OH 44505-1439 | 2011-05-11 |
| 1356593065 | House Call Md LLC | Family Medicine | 150 Overhill Rd, Youngstown, OH 44512-1455 | 2008-10-14 |
| 1417115841 | Michelle Kapon | Family Medicine | 20 Fairlawn Ave, Youngstown, OH 44505-2143 | 2008-06-02 |
| 1063682052 | Nicholas P Depizzo Do Inc | Family Medicine | 4991 Belmont Ave, Youngstown, OH 44505-1017 | 2008-03-05 |
| 1821284159 | Dmhd Family Practice, Inc. | Family Medicine | 1320 Belmont Ave Ste 2, Youngstown, OH 44504-1130 | 2007-09-20 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44515 |
Please comment or provide details below to improve the information on COMMUNITY MEDICAL ASSOC LLC.
| 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.