Individual provider Active NPI

Charles Patrick Sammarone Jr., D.O.

  • Family Medicine Physician
  • Hubbard, OH
National Provider Identifier
1184617300
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.006563 Issued in OH
Practice address
730 N Main St
Hubbard, OH 44425-1126
Phone
(330) 534-1959
Fax
(330) 534-2206
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 34.006563 OH Primary

Addresses

Primary practice location

730 N Main St
Hubbard, OH 44425-1126

Mailing address

730 N Main St
Hubbard, OH 44425-1126
Phone (330) 534-1959

Other identifiers 1

IdentifierTypeStateIssuer
2075516MedicaidOH

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
I20080715000437 OH Practitioner - Family Practice 3870527559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians
Life Line Partners, IncGroup PAC ID 3476440454, 4 clinicians
C P Sammarone Jr DO IncGroup PAC ID 2062446743, 3 clinicians

Practice addresses (Care Compare)

116 E Liberty St
Girard, OH 44420-2648
Phone (330) 545-8643

1825 Tibbetts Wick Rd
Girard, OH 44420-1222
Phone (330) 759-9233

730 N Main St
Hubbard, OH 44425-1126
Phone (330) 534-1959

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.07 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
C P Sammarone Jr DO Inc Family Medicine CurrentSince Sep 1, 1985 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

116 E Liberty St
Girard, OH 44420
Phone (330) 545-8643

730 N Main St
Hubbard, OH 44425
Phone (330) 259-0788

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: charles.sammaronejr.p1@direct.csammarone.nextgenshare.com

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.

Hospital & facility affiliations 7

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1184617300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N MAIN ST",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444251126",
            "telephone_number": "330-534-1959",
            "fax_number": "330-534-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MAIN ST",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444251126",
            "telephone_number": "330-534-1959",
            "fax_number": "330-534-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMARONE",
        "first_name": "CHARLES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.006563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2075516",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hubbard, OH

Sources for this page

Verify at the official NPI Registry.