Organization Active NPI

Youngstown Associates in Radiology

  • Diagnostic Radiology Physician
  • Youngstown, OH
National Provider Identifier
1205957370
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0116IC Issued in OH
Legal business name
YOUNGSTOWN ASSOCIATES IN RADIOLOGY
Practice address
25 N Canfield Niles Rd
Youngstown, OH 44515-2328
Phone
(330) 793-5547
Fax
(330) 793-7011
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Judith Miles
Title
Office Manager
Phone
(330) 758-8353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 0116IC OH Primary
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X 0116IC OH

Addresses

Primary practice location

25 N Canfield Niles Rd
Youngstown, OH 44515-2328

Mailing address

7250 West Blvd
Youngstown, OH 44512-4346
Phone (330) 758-8353

Other identifiers 1

IdentifierTypeStateIssuer
2811505MedicaidOH

Other names 1

  • CRESTWOOD XRAY Other name

National Provider Directory

National Provider Directory

Locations

25 N Canfield Niles Rd
Youngstown, OH 44515
Phone (330) 449-0694

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1205957370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 WEST BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124346",
            "telephone_number": "330-758-8353",
            "fax_number": "330-458-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152328",
            "telephone_number": "330-793-5547",
            "fax_number": "330-793-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSTOWN ASSOCIATES IN RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-758-8353"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "0116IC",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "OH",
            "license": "0116IC",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2811505",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRESTWOOD XRAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 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.