Fidel Ryan Syrianoudis

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.025775 Issued in OH

Practice address

2400 Niles Cortland Rd SE
Warren, OH 44484-3869

Phone

(330) 652-4222

Fax

(330) 652-0574

NPI assigned

Mar 9, 2023

Last updated

Mar 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aprc, Inc

  • Chiropractor
  • Warren, OH
  • NPI 1104034115
  NPD (past)

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1073213815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 REVERE RUN",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068678",
            "telephone_number": "234-567-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NILES CORTLAND RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843869",
            "telephone_number": "330-652-4222",
            "fax_number": "330-652-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYRIANOUDIS",
        "first_name": "FIDEL",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.025775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Benjamin Svoboda, D.O.
• Justin James Sylvester, MA, PC
• Kelly Michelle Sylvester, M.A., CCC-A
• Sherrie P Sylvester, AUD
• Syndolor Medical LLC
• Kimberly Ann Szabo, CNP
• Crystal Szymanski
• T M Pokabla DPM LLC
• T M Wyland Dental Lab II Inc
• Rached Zouhair Tabbara, MSED LPC

• Massage Therapist in Warren, OH
• Providers in Warren, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.