CLINIC OF OSTEOPATHIC MEDICINE, INC (NPI# 1891947958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891947958 |
| Entity Type | Organization |
| Organization Name | CLINIC OF OSTEOPATHIC MEDICINE, INC |
| Practice Address |
929 Robbins Ave Niles OH 44446-2454 |
| Practice Telephone | 3306525512 |
| Practice Fax Number | 3306525122 |
| Mailing Telephone | 3306525512 |
| Mailing Fax Number | 3306525122 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |
| Authorized Official Name | DR. WILLIAM S EDDY (PHYSICIAN) |
| Authorized Official Telephone | 3306525512 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3699 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
929 ROBBINS AVE |
| City | NILES |
| State | OH |
| Zip Code | 44446-2454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992788509 | William S Eddy | Family Medicine | 929 Robbins Ave, Niles, OH 44446-2441 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554144 | Chhavi Karir | Student in an Organized Health Care Education/Training Program | 1801 Phoenix Pl, Unit 306, Niles, OH 44446 | 2020-03-27 |
| 1679030746 | Erica Lynne Forney | Massage Therapist | Fizek Fitness (erica’s Touch), 5555 Youngstown Warren Rd, Niles, OH 44446 | 2019-02-26 |
| 1316476690 | Travon Joshua Allen | Respite Care | 124 Summit Ave, Niles, OH 44446 | 2017-06-08 |
| 1326436205 | Cathy J. Carty | Social Worker | 6000 Youngstown - Warren Rd, Trumball County Educational Service Center, Niles, OH 44446 | 2014-12-31 |
| 1528463593 | Tracy Clark | Speech-Language Pathologist | 6000 Youngstown-warren Rd, Tcesc, Niles, OH 44446 | 2014-11-03 |
| 1881007003 | Cynthia Ann Hoppert | Occupational Therapist | 6000 Youngstown - Warren Road, Niles, OH 44446 | 2014-06-05 |
| 1447688247 | Joyce Ann Agne Jones | Social Worker | 165 East Park Avenue, Niles, OH 44446 | 2013-10-15 |
| 1548508161 | Vicki M Orwig | Pharmacist | 5555 Niles-youngstown Road, Niles, OH 44446 | 2013-01-17 |
| 1558644062 | Rebekah Lee Utsinger | Pharmacist | 5027 Youngstown Rd, Niles, OH 44446 | 2011-09-21 |
| 1134442742 | Edmund Nathaniel Turner | Optometrist | 5320 Youngstown Ave., Niles, OH 44446 | 2010-03-10 |
| Find all providers in zip 44446 | ||||
| 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 |
|---|---|---|---|---|
| 1194378588 | Breann J Melago | Family Medicine | 1875 Taft Ave, Niles, OH 44446-4117 | 2019-07-24 |
| 1215459235 | John Mourad Zakhary | Family Medicine | 1951 Oak St, Niles, MI 49120-3738 | 2017-07-11 |
| 1962935924 | Physician Management Services of Illinois, LLC | Family Medicine | 7900 N Milwaukee Ave Ste 2-33, Niles, IL 60714-3240 | 2017-04-06 |
| 1609183045 | Peter F Mckay | Family Medicine | 2122 Robbins Ave Apt 138, Niles, OH 44446-3968 | 2010-09-07 |
| 1053559898 | Chicago Mental Health Day Program and Wellness Clinic | Family Medicine | 8926 Greenwood, Suite 167, Niles, IL 60714 | 2009-02-02 |
| 1710105671 | Margaret Marie Dolan | Family Medicine | 9016 W Heathwood Cir, Niles, IL 60714-5807 | 2007-04-23 |
| 1306967724 | Guntippar S Pratumngern | Family Medicine | 7255 N Caldwell Ave, Niles, IL 60714-4501 | 2007-04-03 |
| 1316079593 | Romeo Lagrosa | Family Medicine | 8965 W Golf Rd, Niles, IL 60714-5812 | 2007-03-12 |
| 1376690438 | Phillip Paul Malvasi | Family Medicine | 1017 Youngstown Warren Rd, Niles, OH 44446-4620 | 2007-01-04 |
| 1700981537 | Yang W Yeom | Family Medicine | 8965 Golf Road, Niles, IL 60714 | 2006-09-14 |
| Find all providers in NILES | ||||
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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.