Active NPI
Kathryn Michele Jurenovich, DO
- Orthopaedic Surgery of the Spine Physician
- Boardman, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 34.015932
- Practice address
- 7630 Southern Blvd
Boardman, OH 44512-5633 - Phone
- (330) 729-8000
- NPI assigned
- Feb 25, 2016
- Last updated
- Oct 25, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 39.015932 | OH | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 34.015932 | OH | Primary |
Addresses
Primary practice location
7630 Southern Blvd
Boardman, OH 44512-5633
Mailing address
5385 Cloisters Dr
Canfield, OH 44406-8033
Phone (330) 540-6015
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
- Orthopedic Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novacare Rehabilitation of Ohio Inc
Practice addresses (Care Compare)
656 Youngstown Warren Rd
Niles, OH 44446-4356
Phone (330) 505-1362
7629 Market St
Youngstown, OH 44512-6051
7630 Southern Blvd
Youngstown, OH 44512-5633
Phone (330) 729-8000
8740 E Market St
Suite 2
Warren, OH 44484-2324
Phone (330) 965-5090
9371 E Market St
Suite 2
Warren, OH 44484-5551
Phone (234) 287-6303
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 71.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39.015932 | OH | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Health Services, LLC | Current | Accepting new patients | |
| Southwoods Health at Home, LLC | Past | Accepting new patients | |
| The Surgery Center at Southwoods, LLC | Past | Accepting new patients |
Locations
8740 E Market St
Ste 2
Warren, OH 44484
Phone (330) 647-6404
9371 E Market St
Ste 2
Warren, OH 44484
Phone (234) 287-6303
100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828
250 Debartolo Pl
Ste C
Youngstown, OH 44512
7629 Market St
Ste 200
Youngstown, OH 44512
Phone (330) 729-8000
7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480
7630 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-8000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southwoods Physician Services
- Plastic Surgery Physician
- Youngstown, OH
- NPI 1588925457
-
- Home Health Agency
- Youngstown, OH
- NPI 1023788940
-
dba The Surgical Hospital at Southwoods
- Special Hospital
- Youngstown, OH
- NPI 1740398890
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health St Elizabeth Boardman Hospital
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
-
dba The Surgical Hospital at Southwoods
- Special Hospital
- Youngstown, OH
- NPI 1740398890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1154781755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5385 CLOISTERS DR",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444068033",
"telephone_number": "330-540-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7630 SOUTHERN BLVD",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125633",
"telephone_number": "330-729-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURENOVICH",
"first_name": "KATHRYN",
"middle_name": "MICHELE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "OH",
"license": "39.015932",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "OH",
"license": "34.015932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.