NPIMap

Individual provider Active NPI

Holly J Maggiano, MD

  • Neurology Physician
  • Warren, OH
National Provider Identifier
1104898493
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35065705 Issued in OH
Practice address
8828 East Market St.
Warren, OH 44484
Phone
(330) 856-5003
Fax
(330) 856-9224
NPI assigned
Feb 2, 2006
Last updated
Feb 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35065705 OH Primary

Addresses

Primary practice location

8828 East Market St.
Warren, OH 44484

Mailing address

8828 East Market St.
Warren, OH 44484
Phone (330) 856-5003

Other identifiers 1

IdentifierTypeStateIssuer
0981737MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000135 OH Practitioner - Neurology 0042407264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Toledo Medical College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8828 E Market St
Suite 2
Warren, OH 44484-2350
Phone (330) 856-5003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35065705OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holly J Maggiano MD Inc Neurology CurrentSince Aug 1, 1996 Accepting new patients

Locations

8828 E Market St
Warren, OH 44484
Phone (330) 856-5003

8828 E Market St
Ste 2
Warren, OH 44484
Phone (330) 856-5003

983 Niles Cortland Rd SE
Warren, OH 44484
Phone (330) 856-3883

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Patriot Hospice IncGirard, OH, CCN 361728 Hospice Contracted Managing Employee Dec 2, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1104898493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8828 EAST MARKET ST.",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44484",
            "telephone_number": "330-856-5003",
            "fax_number": "330-856-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8828 EAST MARKET ST.",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44484",
            "telephone_number": "330-856-5003",
            "fax_number": "330-856-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGIANO",
        "first_name": "HOLLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35065705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0981737",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.