Youngstown Regional Pet Scan LLC

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

Legal business name

YOUNGSTOWN REGIONAL PET SCAN LLC

Practice address

850 McKay CT
Youngstown, OH 44512-5745

Phone

(330) 758-9411

NPI assigned

May 26, 2006

Last updated

Jul 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sage Yarbrough

Title

Client Representative

Phone

(330) 493-9004

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Herschel Berns, MD

  • Diagnostic Radiology Physician
  • Beachwood, OH
  • NPI 1518924737
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1144276429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 76757",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441016500",
            "telephone_number": "800-624-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MCKAY CT",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125745",
            "telephone_number": "330-758-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSTOWN REGIONAL PET SCAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "YARBROUGH",
        "authorized_official_first_name": "SAGE",
        "authorized_official_title_or_position": "CLIENT REPRESENTATIVE",
        "authorized_official_telephone_number": "330-493-9004"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2424200",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Youngstown Ohio Hospital Company LLC (Northside Medical Center)
• Youngstown Ohio Physician Services Company LLC
• Youngstown Orthopaedic Associates LTD
• Youngstown Orthopaedic Associates LTD
• Youngstown Physical Therapists Inc.
• Youngstown Smiles Youth Dentistry Llcmichael Crites DDS
• Youngstown State University
• Youngstown State University Student Health
• Youngstown Urban Minority Alcoholism and Drug Abuse Outreach Prog Inc
• Youngstown Urban Minority Alcoholism and Drug Abuse Outreach Program (Yumadaop)

• Nuclear Radiology Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Nuclear Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.