Active NPI
Jared Daniel Bunevich, D.O.
- Facial Plastic Surgery Physician
- Warren, OH
National Provider Identifier
1144489386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 34010109
- Practice address
- 1932 Niles Cortland Rd NE Ste B
Warren, OH 44484-1055 - Phone
- (330) 856-2520
- Fax
- (330) 856-2530
- NPI assigned
- Jun 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 34010109 | OH | Primary |
Addresses
Primary practice location
1932 Niles Cortland Rd NE Ste B
Warren, OH 44484-1055
Mailing address
1932 Niles Cortland Rd NE Ste B
Warren, OH 44484-1055
Phone (330) 856-2520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0050016 | Medicaid | OH | |
| H009300 | Other | OH | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5533 Mahoning Ave
FL 2
Austintown, OH 44515-2366
Phone (330) 480-3533
Hospital & facility affiliations
- HMHP St Elizabeth Boardman Health Center
- MH St Elizabeth Youngstown Hospital
- MH St Joseph Warren Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34010109 | OH | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown LLC | Current | Accepting new patients |
Locations
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
1932 Niles Cortland Rd NE
Ste B
Warren, OH 44484
Phone (330) 306-5258
8423 Market St
Ste 205
Youngstown, OH 44512
Phone (330) 729-1937
250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
5533 Mahoning Ave
Fl 2
Youngstown, OH 44515
Phone (330) 480-3533
Interoperability endpoints
- jbunevich39928@direct.bsmhealth.org
Organizations & group practices 4
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.
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
-
- Family Medicine Physician
- Youngstown, OH
- NPI 1154636066
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1750920245
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1386316107
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Warren, OH
- NPI 1629009964
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1144489386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1932 NILES CORTLAND RD NE STE B",
"city": "WARREN",
"state": "OH",
"postal_code": "444841055",
"telephone_number": "330-856-2520",
"fax_number": "330-856-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1932 NILES CORTLAND RD NE STE B",
"city": "WARREN",
"state": "OH",
"postal_code": "444841055",
"telephone_number": "330-856-2520",
"fax_number": "330-856-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNEVICH",
"first_name": "JARED",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "OH",
"license": "34010109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0050016",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "H009300",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.