OHIO NORTH EAST HEALTH SYSTEMS INC (NPI# 1790049872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790049872 |
| Entity Type | Organization |
| Organization Name | OHIO NORTH EAST HEALTH SYSTEMS INC |
| Other Organization Name | KIDZ 1ST PEDIATRICS |
| Practice Address |
1821 E Market St Warren OH 44483-6627 |
| Mailing Address |
726 Wick Ave Youngstown OH 44505-2827 |
| Practice Telephone | 3303927000 |
| Practice Fax Number | 3308846120 |
| Mailing Telephone | 3307479551 |
| Mailing Fax Number | 3308846120 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | RONALD DWINNELLS (CEO) |
| Authorized Official Telephone | 3307479551 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0068428 | 05 |
| Other Name | Type Code |
|---|---|
| Kidz 1st Pediatrics | Other Name - Individual/Organization |
| Market Street Pediatrics | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962491738 | Ohio North East Health Systems Inc | Counselor | 1390 S Arch Ave, Alliance, OH 44601-4111 | 2005-10-14 |
| 1730640046 | Ohio North East Health Systems Inc | Dentist | 500 Gypsy Lane, Medical Office Bldg A, Youngstown, OH 44504-1315 | 2019-03-28 |
| 1699236059 | Ohio North East Health Systems Inc | Dentist | 500 Gypsy Lane, Medical Office Bldg A, Youngstown, OH 44504-1315 | 2019-03-28 |
| 1265780746 | Ohio North East Health Systems Inc | Counselor | 1821 E Market St, Warren, OH 44483-6627 | 2012-08-15 |
| 1285907501 | Ohio North East Health Systems Inc | Counselor | 1032 E Market St, Warren, OH 44483-6602 | 2012-02-16 |
| 1811269681 | Ohio North East Health Systems Inc | Pediatrics | 1032 E Market St, Warren, OH 44483-6602 | 2012-02-08 |
| 1023380102 | Ohio North East Health Systems Inc | Clinic/Center | 1032 E Market St, Warren, OH 44483-6602 | 2012-02-03 |
| 1306835210 | Ohio North East Health Systems Inc | Counselor | 726 Wick Ave, Youngstown, OH 44505-2827 | 2005-10-14 |
| Street Address |
1821 E MARKET ST |
| City | WARREN |
| State | OH |
| Zip Code | 44483-6627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326027228 | Sudhakar Vadlakonda Rao | Pediatrics | 1821 E Market St, Warren, OH 44483-6627 | 2006-01-10 |
| 1265780746 | Ohio North East Health Systems Inc | Counselor | 1821 E Market St, Warren, OH 44483-6627 | 2012-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
| 1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
| Find all providers in zip 44483 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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.