Organization Active NPI

Youngstown Associates in Radiology Inc

  • Diagnostic Radiology Physician
  • Youngstown, OH
National Provider Identifier
1124144878
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0116IC Issued in OH
Legal business name
YOUNGSTOWN ASSOCIATES IN RADIOLOGY INC
Practice address
7250 West Blvd
Youngstown, OH 44512-4346
Phone
(330) 758-8353
Fax
(330) 758-0369
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Judith Miles
Title
Practice Manager
Phone
(330) 758-8353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 0116IC OH Primary

Addresses

Primary practice location

7250 West Blvd
Youngstown, OH 44512-4346

Mailing address

7250 West Blvd
Youngstown, OH 44512-4346
Phone (330) 758-8353

Other identifiers 1

IdentifierTypeStateIssuer
0812599MedicaidOH

National Provider Directory

National Provider Directory

Locations

7250 West Blvd
Youngstown, OH 44512
Phone (330) 629-8800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1124144878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 WEST BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124346",
            "telephone_number": "330-758-8353",
            "fax_number": "330-758-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 WEST BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124346",
            "telephone_number": "330-758-8353",
            "fax_number": "330-758-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSTOWN ASSOCIATES IN RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "330-758-8353"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "0116IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0812599",
            "state": "OH"
        }
    ],
    "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 Mar 6, 2012; 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.