Mercy Health Physicians Youngstown LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC

Doing business as

Mercy Health - Columbiana Podiatry

Practice address

107 Royal Birkdale Dr Ste a
Columbiana, OH 44408

Phone

(330) 482-9350

Fax

(330) 482-2336

NPI assigned

Aug 1, 2018

Organization subpart

Yes

Parent organization

MERCY HEALTH PHYSICIANS YOUNGSTOWN LLCAs reported in NPPES

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

Authorized official

Name

Donald E. Kline

Title

Region Ceo

Phone

(330) 884-7010

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mercy Health - Columbiana Podiatry Doing business as

Tax ID family

HMHP Phys Enterprise LLC2 organizations share this tax ID, including this one

Part of

HMHP Phys Enterprise LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mercy Health Physicians

  • General Practice Physician
  • Boardman, OH
  • NPI 1659722171
  NPD tax ID

Locations

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1104304260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-884-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ROYAL BIRKDALE DR STE A",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "44408",
            "telephone_number": "330-482-9350",
            "fax_number": "330-482-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC",
        "enumeration_date": "2018-08-01",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "REGION CEO",
        "authorized_official_telephone_number": "330-884-7010"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3136878",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Health - Columbiana Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mashburn Family Practice Inc
• Teresa Masters
• Presley Maxwell
• Ryan Neil Maxwell, RPH
• Rachel Diane McDaniel
• Mercy Health Physicians Youngstown Specialty Care LLC
• Mercy Health Youngstown LLC (Mercy Health Columbiana Rural Health Clinic)
• Metta Wellness LLC
• Miladin Chiropractic Inc
• Chad Christopher Moreschi, O.D.

• Durable Medical Equipment & Medical Supplies in Columbiana, OH
• Providers in Columbiana, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.