Individual provider Active NPI

Joshua Steven McGaffic, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Austintown, OH
National Provider Identifier
1053877951
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
418129 Issued in OH
Practice address
5760 Patriot Blvd # C
Austintown, OH 44515-1170
Phone
(330) 270-8610
NPI assigned
Feb 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 418129 OH Primary

Addresses

Primary practice location

5760 Patriot Blvd # C
Austintown, OH 44515-1170

Mailing address

3700 Villa Rosa Dr
Canfield, OH 44406-8070
Phone (330) 831-5674

Other practice location 1

196 Colonial Dr
Youngstown, OH 44505-2139
Phone (234) 232-7500

Other practice location 2

3700 Villa Rosa Dr
Canfield, OH 44406-8070
Phone (330) 831-5674

Other identifiers 1

IdentifierTypeStateIssuer
0336665MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
418129OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26327/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1053877951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 VILLA ROSA DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068070",
            "telephone_number": "330-831-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 PATRIOT BLVD # C",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151170",
            "telephone_number": "330-270-8610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445052139",
            "country_code": "US",
            "telephone_number": "234-232-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Villa Rosa Dr",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444068070",
            "country_code": "US",
            "telephone_number": "330-831-5674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGAFFIC",
        "first_name": "JOSHUA",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-15",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "418129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0336665",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

Verify at the official NPI Registry.