Active NPI
Frank Yannucci DPM Inc
- Foot & Ankle Surgery Podiatrist
- Boardman, OH
National Provider Identifier
1033269642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36003061
- Legal business name
- FRANK YANNUCCI DPM INC
- Practice address
- 790 Boardman Canfield Rd
Suite 3
Boardman, OH 44512-7319 - Phone
- (330) 726-3668
- Fax
- (330) 726-3669
- NPI assigned
- Jan 12, 2007
- Last updated
- Mar 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank Yannucci, DPM
- Title
- President
- Phone
- (330) 726-3668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36003061 | OH | Primary |
Addresses
Primary practice location
790 Boardman Canfield Rd
Suite 3
Boardman, OH 44512-7319
Mailing address
790 Boardman Canfield Rd
Suite 3
Boardman, OH 44512-7319
Phone (330) 726-3668
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2197939 | Medicaid | OH | |
| 000000376872 | Other | OH | ANTHEMBCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Boardman, OH
- NPI 1891792115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204588800000",
"number": "1033269642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 BOARDMAN CANFIELD RD",
"address_2": "SUITE 3",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445127319",
"telephone_number": "330-726-3668",
"fax_number": "330-726-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 BOARDMAN CANFIELD RD",
"address_2": "SUITE 3",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445127319",
"telephone_number": "330-726-3668",
"fax_number": "330-726-3669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANK YANNUCCI DPM INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2008-03-04",
"status": "A",
"authorized_official_last_name": "YANNUCCI",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-726-3668",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36003061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2197939",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEMBCBS",
"identifier": "000000376872",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.