Active NPI
Community Medical Associates, LTD.
- Family Medicine Physician
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMMUNITY MEDICAL ASSOCIATES, LTD.
- Practice address
- 1450 S Canfield Niles Rd
Youngstown, OH 44515 - Phone
- (330) 799-8752
- Fax
- (330) 799-8754
- NPI assigned
- Jan 30, 2007
- Last updated
- Apr 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel A. Miller, M.D.
- Title
- Owner/Practice Manager
- Phone
- (330) 799-8752
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OH | Primary | |
| Internal Medicine Physician | 207R00000X | OH |
Addresses
Primary practice location
1450 S Canfield Niles Rd
Youngstown, OH 44515
Mailing address
1450 S Canfield Niles Rd
Youngstown, OH 44515
Phone (330) 799-8752
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2588203 | Medicaid | OH | |
| 000000179839 | Other | OH | ANTHEM GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Community Medical Assoc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Youngstown, OH
- NPI 1649465733
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Austintown, OH
- NPI 1255599171
-
- Family Nurse Practitioner
- Austintown, OH
- NPI 1598131237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682640000000",
"number": "1184761405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 S CANFIELD NILES RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "44515",
"telephone_number": "330-799-8752",
"fax_number": "330-799-8754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 S CANFIELD NILES RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "44515",
"telephone_number": "330-799-8752",
"fax_number": "330-799-8754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY MEDICAL ASSOCIATES, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER/PRACTICE MANAGER",
"authorized_official_telephone_number": "330-799-8752",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2588203",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP NUMBER",
"identifier": "000000179839",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
- William C Combs, LPCC
- Comfortbrook Hospice, LLC (Grace Hospice)
- Tamera A Comm, B.S.
- Community Behavior Consulting, LLC
- Community Medical Associates
- Compass Family and Community Services
- Comprehensive Behavioral Health Associates, Inc.
- Comprehensive Physician Associates (Cardinal Lab Services)
- Comprehensive Physician Associates LLC
- Danielle Dawn Compton, CDCA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.