MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC (NPI# 1649892225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649892225 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC |
| Practice Address |
1044 Belmont Ave Youngstown OH 44504-1006 |
| Mailing Address |
1701 Mercy Health Pl Cincinnati OH 45237-6147 |
| Practice Telephone | 8886963541 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | OLIVIA DACRE (CFO, MEDICAL GROUP) |
| Authorized Official Telephone | 4192519650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1044 BELMONT AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44504-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043210495 | Select Specialty Hospital - Youngstown Inc | Long Term Care Hospital | 1044 Belmont Ave, Youngstown, OH 44501-1006 | 2005-07-28 |
| 1326659558 | Tiewei Cheng | Internal Medicine | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-08-11 |
| 1023630936 | Dana Schwartz | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-05-13 |
| 1861012346 | Margaret Jane Gibson | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-24 |
| 1801416425 | Courtney Colles | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-23 |
| 1427678218 | Jordynn Pozzuto | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-21 |
| 1518587799 | Bryan Wang | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-17 |
| 1528687381 | Alexis Lynn De La Cruz | Radiology | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-13 |
| 1467071290 | Garrett Andrew Frank | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-12 |
| 1467081943 | Jin Huang | Internal Medicine | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458845 | Shay Kahani | Social Worker | 517 Gypsy Lane, Youngstown, OH 44504 | 2019-10-14 |
| 1497312573 | Parth Shah | Student in an Organized Health Care Education/Training Program | Western Reserve Health Education, 500 Gypsy Lane, Medical Office Building A, Youngstown, OH 44504 | 2019-05-23 |
| 1811455348 | Kisha Brady | Nurse Practitioner | 1350 Belmont Ave, Youngstown, OH 44504 | 2019-03-04 |
| 1750808473 | Janae White | Home Health | 2278 Cordova Ave, Youngstown, OH 44504 | 2017-08-23 |
| 1760910509 | Ryan Gallagher | Student in an Organized Health Care Education/Training Program | 1001 Covington Ave, Youngstown, OH 44504 | 2017-05-24 |
| 1649727314 | Bilal Abo Almakarim Kanawati | Specialist/Technologist, Other | 461 Gypsy Ln Apt 72, Youngstown, OH 44504 | 2016-09-09 |
| 1174979157 | Hiyam Abdelmagid | Internal Medicine | 1001 Covington Ave., Youngstown, OH 44504 | 2016-05-10 |
| 1962696419 | Earnest Perry, M.d., Inc. | Surgery | 1320 Belmont Avenue, Ste 2, Youngstonw, OH 44504 | 2007-08-28 |
| 1699839738 | Rodney Earl Hill | Family Medicine | 1350 Fifth Ave, Suite 324, Youngstown, OH 44504 | 2006-12-21 |
| 1710063987 | David A Hoffman | Internal Medicine | 1220 Belmont Avenue, Youngstown, OH 44504 | 2006-10-31 |
| Find all providers in zip 44504 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447484100 | Surgical Associates of Youngstown | Surgery | 7645 Market Street, Suite 200, Youngstown, OH 44512-6098 | 2009-05-11 |
| 1538334370 | Mounir Awad, Md, Inc | Surgery | 755 Boardman Canfield Rd Ste A1, Youngstown, OH 44512-4384 | 2008-04-23 |
| 1932319894 | Theron Clay Mock Jr. | Surgery | 465 Gypsy Ln, Apt 312, Youngstown, OH 44504-1361 | 2007-05-22 |
| 1083692040 | Louis Sozon Lyras | Surgery | 7645 Market St Ste 200, Youngstown, OH 44512-6098 | 2006-01-09 |
| 1750365631 | Salim C El Hayek | Surgery | 515 N Meridian Rd, Youngstown, OH 44509-1227 | 2005-12-02 |
| 1679554273 | Douglas J Smith Behn | Surgery | 4308 Belmont Ave, Youngstown, OH 44505-1052 | 2005-11-10 |
| 1134115900 | Heath A Dorion | Surgery | 1001 Covington St, Youngstown, OH 44510-1617 | 2005-09-27 |
| 1891282935 | Michael Andrew Dever | Surgery | 1044 Belmont Ave, Youngstown, OH 44501 | 2018-04-14 |
| 1437656808 | Jane Han | Surgery | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2018-04-11 |
| 1821476680 | Osatohanwen Temisaren Osakue | Surgery | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2015-05-13 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44504 |
Please comment or provide details below to improve the information on MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE 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.