Joseph G Protain, DO

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

34-008446 Issued in OH

Practice address

813 Kentwood Dr
Boardman, OH 44512-5004

Phone

(330) 953-3513

Fax

(330) 953-0313

NPI assigned

May 24, 2006

Last updated

Jun 10, 2020By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH, WV, VA3 enrollments

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.

Enrollment records 3

Specialty

Vascular Surgery

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot and Ankle Clinic of the Virginias IncGroup PAC ID 7911948583, 12 clinicians

Podiatry IncGroup PAC ID 6507936671, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.53 of 100Reported as group

Quality

83.79

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 35)

Interoperability endpoints

• Direct secure messaging: josephprotain@footclinic.allscriptsdirect.net
• Direct secure messaging: jprotain@usfas.emadirect.md

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.

• Podiatry Inc

  • Podiatrist
  • Beachwood, OH
  • NPI 1871769869
  Medicare reassignment Care Compare group NPD
• Foot and Ankle Clinic of the Virginias Inc

  • Podiatrist
  • Princeton, WV
  • NPI 1740227909

  OH, VA

  Medicare reassignment Care Compare group NPD
• Foot and Ankle Specialists of the Mid-Atlantic, LLC

  • Podiatrist
  • Raleigh, NC
  • NPI 1073804712

  VA

  Medicare reassignment NPD
• Western Reserve Vascular Institute

  • Vascular Surgery Physician
  • Boardman, OH
  • NPI 1104082031
  Authorized official Same address or phone
• Cary Copeland DPM Inc

  • Podiatrist
  • Cincinnati, OH
  • NPI 1184590069
  NPD
• Cary Copeland DPM Inc

  • Podiatrist
  • Cincinnati, OH
  • NPI 1760564181
  NPD
• Podiatry Inc

  • Podiatrist
  • Tallmadge, OH
  • NPI 1710853668
  NPD
• Foot and Ankle Clinic of the Virginias Inc

  • Podiatrist
  • Fayetteville, WV
  • NPI 1093678922
  NPD
• Foot and Ankle Specialists of the Mid-Atlantic, LLC

  • Podiatrist
  • Concord, NC
  • NPI 1255213997
  NPD
• Cary Copeland DPM Inc

  • Podiatrist
  • Cincinnati, OH
  • NPI 1255413571
  NPD (past)
• John D Edwards MD, Inc

  • Vascular Surgery Physician
  • Florence, KY
  • NPI 1568418549
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1083669097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 KENTWOOD DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125004",
            "telephone_number": "330-953-3513",
            "fax_number": "330-953-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 KENTWOOD DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125004",
            "telephone_number": "330-953-3513",
            "fax_number": "330-953-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTAIN",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34-008446",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "34-008446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2688846",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00067987",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Dental Alliance
• Professional Dental Alliance Specialty, LLC
• Progressive Women's Care, Inc.
• Nicholas G Proia, MD
• James Edwin Prommersberger, DPM
• Jennifer Prozy
• Psycare, Inc.
• Quest Diagnostics of Pennsylvania Inc (Quest Diagnostics)
• Brenda Rach
• Amal Lee Rachidi, PA

• Vascular Surgery Physician in Boardman, OH
• Providers in Boardman, OH by specialty
• Vascular Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.