Ma. Beatrice Camille Valencia Gaviola, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

57.255010 Issued in OH

Practice address

1001 Covington Street St. Elizabeth Youngstown Hospital
Internal Medicine
Youngstown, OH 44510

Phone

(330) 480-2616

NPI assigned

Apr 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1073208013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 COVINGTON STREET ST. ELIZABETH YOUNGSTOWN HOSPITAL",
            "address_2": "INTERNAL MEDICINE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44510",
            "telephone_number": "330-480-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COVINGTON STREET ST. ELIZABETH YOUNGSTOWN HOSPITAL",
            "address_2": "INTERNAL MEDICINE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44510",
            "telephone_number": "330-480-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIOLA",
        "first_name": "MA. BEATRICE CAMILLE",
        "middle_name": "VALENCIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.255010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateways to Better Living, Inc.
• Gateways to Better Living, Inc.
• Tabitha L Gatrell, CDCA-PRE
• Jaydan P Gavalier
• Spencer R Gavalier
• Lori Gawdyda
• Savannah Marie Gay
• Antonette M Gealy
• Lesa Gearheart
• Kori Geary

• Internal Medicine Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.

Verify at the official NPI Registry.