Active NPI
Summit Academy Youngstown
- Local Education Agency (LEA)
- Youngstown, OH
National Provider Identifier
1104010602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- SUMMIT ACADEMY YOUNGSTOWN
- Practice address
- 2800 Shady Run Road
Youngstown, OH 44502-6520 - Phone
- (330) 670-8470
- Fax
- (330) 743-9260
- NPI assigned
- Aug 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David M Hoskin
- Title
- Treasurer
- Phone
- (330) 670-8470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
2800 Shady Run Road
Youngstown, OH 44502-6520
Mailing address
2800 Shady Run Road
Youngstown, OH 44502-6520
Phone (330) 836-6200
National Provider Directory
National Provider DirectoryLocations
1111 W Market St
Akron, OH 44313
Phone 3308366200 ext. 232
810 Oak St
Youngstown, OH 44506
Phone (330) 743-9235
2800 Shady Run Rd
Youngstown, OH 44502
Phone (234) 228-8235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1104010602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 SHADY RUN ROAD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445026520",
"telephone_number": "330-836-6200",
"fax_number": "330-836-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 SHADY RUN ROAD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445026520",
"telephone_number": "330-670-8470",
"fax_number": "330-743-9260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT ACADEMY YOUNGSTOWN",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-29",
"last_updated": "2024-04-08",
"status": "A",
"authorized_official_last_name": "HOSKIN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "330-670-8470"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
- Meghan M Sullivan, PHARM.D.
- Nahid Sultana, DO
- Ava Brooke Summers, M.A.
- George Delano Summers, MSED LPCC-S
- Summit Academy Community School for Alternative Learners
- Summitacademysecondaryschool-Youngstown
- Alyssa Sumpter
- Meri Joanna Surdoval-Fetkovich, MS, CSCS
- Surgical Associates of Youngstown
- Erica Leigh Susa, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.