Mahoning Valley Imaging LTD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

34005921 Issued in OH

Legal business name

MAHONING VALLEY IMAGING LTD

Practice address

7067 Tiffany Blvd
Youngstown, OH 44514-1993

Phone

(330) 629-2366

Fax

(330) 629-2634

NPI assigned

Jul 20, 2005

Last updated

Nov 15, 2007By 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

Dean R Ball, D.O.NPI 1891794970

Title

President

Phone

(330) 629-2366

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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.

• Dean R Ball, D.O.

  • Diagnostic Radiology Physician
  • Youngstown, OH
  • NPI 1891794970
  Medicare reassignment Authorized official
• Adam G Crouch, D.O.

  • Diagnostic Radiology Physician
  • Youngstown, OH
  • NPI 1194833343
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1073512174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182255",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432182255",
            "telephone_number": "614-430-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 TIFFANY BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141993",
            "telephone_number": "330-629-2366",
            "fax_number": "330-629-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHONING VALLEY IMAGING LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-629-2366",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34005921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102861",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahoning Valley Birth Center LLC
• Mahoning Valley Dental Services
• Mahoning Valley Emergency Specialists
• Mahoning Valley Emergency Specialists LLC
• Mahoning Valley Hematology Oncology Assoc. Inc.
• Mahoning Valley Infusioncare, Inc
• Mahoning Valley Physicians LLC
• Mahoning Valley Reentry Coalition
• Mahoning Valley Wound Care, Inc. (Felix a. Pesa, M.D.)
• Mahoning Womens Center

• Diagnostic Radiology Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.