Active NPI
Joshua Steven McGaffic, MSN, RN, FNP-BC
- Family Nurse Practitioner
- Austintown, OH
National Provider Identifier
1053877951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 418129
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0336665 | Medicaid | OH |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 418129 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Surgery Center at Southwoods, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.