John R Becker Jr MD Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

JOHN R BECKER JR MD INC

Practice address

550 Parmalee Ave
Suite 200
Youngstown, OH 44510-1602

Phone

(330) 746-4001

Fax

(330) 480-6319

NPI assigned

Jul 17, 2007

Last updated

Sep 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cyndee Fisher

Title

Accounts Manager

Phone

3303302708494

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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.

• John R Becker Jr., MD

  • Neurology Physician
  • Youngstown, OH
  • NPI 1093796427
  Medicare reassignment NPD

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1063611309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PARMALEE AVE",
            "address_2": "SUITE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101602",
            "telephone_number": "330-746-4001",
            "fax_number": "330-480-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PARMALEE AVE",
            "address_2": "SUITE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101602",
            "telephone_number": "330-746-4001",
            "fax_number": "330-480-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R BECKER JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CYNDEE",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "3303302708494"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104489",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.