Active NPI
Anthony S Lattanzio, DO
- Family Medicine Physician
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34006587
- Practice address
- 20 Ohltown Rd
Suite 2F
Youngstown, OH 44515-2331 - Phone
- (330) 884-1583
- Fax
- (330) 884-1588
- NPI assigned
- Oct 4, 2005
- Last updated
- May 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34006587 | OH | Primary |
Addresses
Primary practice location
20 Ohltown Rd
Suite 2F
Youngstown, OH 44515-2331
Mailing address
20 Ohltown Rd
Suite 2F
Youngstown, OH 44515-2331
Phone (330) 884-1583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020164 | Medicaid | OH |
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
- Family Practice
- Education
- Northeastern Ohio University College of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34006587 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Steward Medical Group Inc. | Family Medicine | Current | Accepting new patients |
Locations
1570 S Canfield Niles Rd
Ste 101
Austintown, OH 44515
Phone (234) 264-8980
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
1350 E Market St
Warren, OH 44483
Phone (330) 841-5969
1570 S Canfield Niles Rd
Youngstown, OH 44515
Phone (330) 792-5283
20 Ohltown Rd
Youngstown, OH 44515
Phone (330) 797-9705
20 Ohltown Rd
Ste 206
Youngstown, OH 44515
Phone (330) 743-3604
20 Ohltown Rd
Ste 2F
Youngstown, OH 44515
Phone (330) 884-1583
500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572
7067 Tiffany Blvd
Youngstown, OH 44514
Phone (330) 726-7411
7067 Tiffany Blvd
Ste 230
Youngstown, OH 44514
Phone (330) 758-2748
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Internal Medicine Physician
- Brookfield, OH
- NPI 1902347438
Family Medicine
-
- Specialist
- Brighton, MA
- NPI 1356654495
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health St Elizabeth Youngstown Hospital
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
dba Mercy Health Youngstown Laboratory
- Clinical Medical Laboratory
- Youngstown, OH
- NPI 1831600295
Hospital
-
- Home Health Agency
- Youngstown, OH
- NPI 1023788940
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
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": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1184611287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OHLTOWN RD",
"address_2": "SUITE 2F",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445152331",
"telephone_number": "330-884-1583",
"fax_number": "330-884-1588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 OHLTOWN RD",
"address_2": "SUITE 2F",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445152331",
"telephone_number": "330-884-1583",
"fax_number": "330-884-1588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTANZIO",
"first_name": "ANTHONY",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34006587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2020164",
"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 May 31, 2012; 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.