Mercy Health Physicians Youngstown Specialty Care LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC

Practice address

107 Royal Birkdale Dr Ste a
Columbiana, OH 44408-8493

Phone

(330) 482-9350

NPI assigned

Oct 13, 2021

Organization subpart

No

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

Authorized official

Name

Wilbur Gay

Title

Cfo

Phone

(888) 696-3541

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1063174308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631332",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631332",
            "telephone_number": "888-696-3541",
            "fax_number": "513-952-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ROYAL BIRKDALE DR STE A",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088493",
            "telephone_number": "330-482-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "888-696-3541"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Masters
• Presley Maxwell
• Ryan Neil Maxwell, RPH
• Rachel Diane McDaniel
• Mercy Health Physicians Youngstown LLC
• Mercy Health Youngstown LLC
• Metta Wellness LLC
• Miladin Chiropractic Inc
• Chad Christopher Moreschi, O.D.
• Samantha Rose Morgan, CNP

• Customized Equipment (DME) in Columbiana, OH
• Providers in Columbiana, OH by specialty
• Customized Equipment (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.