Individual provider Active NPI

Anthony S Lattanzio, DO

  • Family Medicine Physician
  • Youngstown, OH
National Provider Identifier
1184611287
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34006587 Issued in OH
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2020164MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070613000051 OH Practitioner - Family Practice 9335247451 Reassigns benefits to 2 organizations

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
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

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

LicenseStateTypeSpecialty
34006587OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jan 2, 2025 Accepting new patients
Steward Medical Group Inc. Family Medicine CurrentSince May 1, 2017 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.