OG MEDICAL SERVICES LLC (NPI# 1609230127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609230127 |
| Entity Type | Organization |
| Organization Name | OG MEDICAL SERVICES LLC |
| Practice Address |
5815 Market St Ste 6 Boardman OH 44512-2915 |
| Practice Telephone | 3302599575 |
| Practice Fax Number | 3302599576 |
| Mailing Telephone | 3302599575 |
| Mailing Fax Number | 3302599576 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | OMAR GARCIA (OWNER) |
| Authorized Official Telephone | 3302599575 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians |
| Street Address |
5815 MARKET ST STE 6 |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982685855 | Joseph A Mika | Dentist | 5815 Market St Ste 6, Boardman, OH 44512-2915 | 2005-11-08 |
| 1184253148 | Youngstown Physical Rehabilitation | Clinic/Center | 5815 Market St Ste 6, Boardman, OH 44512-2915 | 2020-04-02 |
| 1952605461 | Joseph A Mika Dds LLC | Dentist | 5815 Market St Ste 6, Boardman, OH 44512-2915 | 2010-12-28 |
| 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 | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023561941 | Eastshore Medical Center LLC | Neuromusculoskeletal Medicine & OMM | 26300 Euclid Ave Ste 333, Euclid, OH 44132-3702 | 2016-07-27 |
| 1144681560 | Zhan Tao Yang | Neuromusculoskeletal Medicine & OMM | 4180 Warrensville Center Rd Bldg A5th, Warrensville Heights, OH 44122-7024 | 2016-03-11 |
| 1548691157 | Thomas C Lin | Neuromusculoskeletal Medicine & OMM | 845 Atalan Trl, Lima, OH 45805-4128 | 2013-12-06 |
| 1548543069 | Yasser Salam | Neuromusculoskeletal Medicine & OMM | 2569 Palmer Cir, Avon, OH 44011-2048 | 2011-09-21 |
| 1548598469 | Simeon Hain | Neuromusculoskeletal Medicine & OMM | 2434 Richmiller Ln Unit E, Belpre, OH 45714-1075 | 2009-12-04 |
| 1730318429 | Mark Thomas Finneran | Neuromusculoskeletal Medicine & OMM | 886 Woodmere, Wooster, OH 44691 | 2009-07-02 |
| 1639326804 | Anna K Wright | Neuromusculoskeletal Medicine & OMM | 26 E Park Dr Ste 115, Athens, OH 45701-5003 | 2008-08-19 |
| 1063500932 | Andreas Herbert Syllaba | Neuromusculoskeletal Medicine & OMM | 1301 Mattec Dr, Loveland, OH 45140-7300 | 2006-10-10 |
| 1164529061 | Charles E Steiner, Do, Inc. | Neuromusculoskeletal Medicine & OMM | 2364 Blizzard Ln Ste A, Albany, OH 45710-9287 | 2006-09-20 |
| 1851498281 | Katrina Cisaruk Rakowsky | Neuromusculoskeletal Medicine & OMM | 4100 Warrensville Center Road, Suite 102, Warrensville Heights, OH 44122-7099 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
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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.