Mercy Health Youngstown LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MERCY HEALTH YOUNGSTOWN LLC

Practice address

1044 Belmont Ave
Youngstown, OH 44504-1006

Phone

(330) 746-7211

NPI assigned

Jul 21, 2006

Organization subpart

No

Name

Matthew A. Love

Title

Cfo

Phone

(330) 884-7055

• Humility of Mary Health Partners Physician Group Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2022.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1063433779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-746-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-746-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH YOUNGSTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-884-7055"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humility of Mary Health Partners Physician Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Humility of Mary Health Partners Physician Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mercy Health Youngstown LLC
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• All providers in Youngstown, OH
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.