Organization Active NPI

Mahoning Valley High Risk Obstetrics, LLC

  • Maternal & Fetal Medicine Physician
  • Boardman, OH
National Provider Identifier
1194989574
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
35068255 Issued in OH
Legal business name
MAHONING VALLEY HIGH RISK OBSTETRICS, LLC
Practice address
8170 South Ave
Suite 2
Boardman, OH 44512-6434
Phone
(330) 965-6380
Fax
(330) 965-6390
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Sayed A El-Azeem, M.D.
Title
President
Phone
(330) 965-6380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X 35068255 OH Primary

Addresses

Primary practice location

8170 South Ave
Suite 2
Boardman, OH 44512-6434

Mailing address

8170 South Ave
Suite 2
Boardman, OH 44512-6434
Phone (330) 965-6380

Other identifiers 1

IdentifierTypeStateIssuer
0251794MedicaidOH

National Provider Directory

National Provider Directory

Locations

1451 E Market St
Warren, OH 44483
Phone (330) 393-7450

8828 E Market St
Ste 1
Warren, OH 44484
Phone (330) 965-6380

8170 South Ave
Ste 2
Youngstown, OH 44512
Phone (330) 726-4400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1194989574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 SOUTH AVE",
            "address_2": "SUITE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126434",
            "telephone_number": "330-965-6380",
            "fax_number": "330-965-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 SOUTH AVE",
            "address_2": "SUITE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126434",
            "telephone_number": "330-965-6380",
            "fax_number": "330-965-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHONING VALLEY HIGH RISK OBSTETRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "EL-AZEEM",
        "authorized_official_first_name": "SAYED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-965-6380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OH",
            "license": "35068255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251794",
            "state": "OH"
        }
    ],
    "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 Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.