Active NPI
Kathryn Lorraine Faccini, MD
- Medical Oncology Physician
- Youngstown, OH
National Provider Identifier
1124028667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD424718
- Practice address
- 98 Oriole Dr
Youngstown, OH 44505-2245 - Phone
- (330) 759-9004
- Fax
- (330) 759-9005
- NPI assigned
- Jul 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | MD424718 | PA | Primary |
| Hematology (Internal Medicine) Physician | 207RH0000X | 35.078694 | OH |
Addresses
Primary practice location
98 Oriole Dr
Youngstown, OH 44505-2245
Mailing address
98 Oriole Dr
Youngstown, OH 44505-2245
Phone (330) 759-9004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.078694 | OH | MD | Hematology (Internal Medicine) Physician |
| MD424718 | PA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Diagnostics of Pennsylvania Inc | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Mahoning Valley Hematology Oncology Assoc. Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Youngstown, OH
- NPI 1215979588
-
- Clinical Medical Laboratory
- Boardman, OH
- NPI 1962659656
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1124028667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 ORIOLE DR",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445052245",
"telephone_number": "330-759-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 ORIOLE DR",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445052245",
"telephone_number": "330-759-9004",
"fax_number": "330-759-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FACCINI",
"first_name": "KATHRYN",
"middle_name": "LORRAINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-27",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "PA",
"license": "MD424718",
"primary": true
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "OH",
"license": "35.078694",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.