GOOD SHEPHERD COMMUNITY DOCTORS OFFICE (NPI# 1912138157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912138157 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD COMMUNITY DOCTORS OFFICE |
| Practice Address |
30 W Front St Youngstown OH 44503-1417 |
| Practice Telephone | 3307822800 |
| Practice Fax Number | 3307462855 |
| Mailing Telephone | 3307822800 |
| Mailing Fax Number | 3307462855 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |
| Authorized Official Name | MRS. YVETTE ETNA THORNTON (CEO) |
| Authorized Official Telephone | 3307822800 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
RN245640 | OH | Ambulatory Health Care Facilities |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
RN245640 | OH | Ambulatory Health Care Facilities |
| Street Address |
30 W FRONT ST |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44503-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205625 | Anna Marie Barksdale | Social Worker | 25 W. Rayen Ave, Youngstown, OH 44503 | 2017-06-13 |
| 1851843064 | Janine Whitney Turocy | Speech-Language Pathologist | 20 W Wood St, Youngstown, OH 44503 | 2016-11-04 |
| 1508396888 | Roni Renee Robinson | Case Manager/Care Coordinator | 25 W Rayen Ave, Youngstown, OH 44503-1000 | 2017-06-19 |
| 1548786239 | Joy L Smith | Case Manager/Care Coordinator | 25 W Rayen Ave, Youngstown, OH 44503-1000 | 2017-08-15 |
| 1265874267 | Gerald Wasko Jr. | Family Medicine | 330 Wick Ave, Youngstown, OH 44503-1002 | 2013-07-19 |
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1457556615 | Youngstown City Schools | Local Education Agency (LEA) | 20 W Wood St, Youngstown, OH 44503-1028 | 2007-06-18 |
| 1669928479 | James Earl Douglass IIi | Speech-Language Pathologist | 20 W Wood St, Youngstown, OH 44503-1028 | 2016-08-31 |
| 1821544917 | Mary Crock | Audiologist | 20 W Wood St, Youngstown, OH 44503-1028 | 2016-08-29 |
| 1982159992 | Kirsten Cook | Speech-Language Pathologist | 20 W Wood St, Youngstown, OH 44503-1028 | 2016-08-19 |
| Find all providers in zip 44503 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44503 |
Please comment or provide details below to improve the information on GOOD SHEPHERD COMMUNITY DOCTORS OFFICE.
| 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.