Active NPI
Youngstown Associates in Radiology
- Diagnostic Radiology Physician
- Youngstown, OH
National Provider Identifier
1205957370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0116IC
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0116IC | OH | Primary |
| Diagnostic Ultrasound Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2811505 | Medicaid | OH |
Other names 1
- CRESTWOOD XRAY
National Provider Directory
National Provider DirectoryLocations
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
- Jordan E Youngs
- Youngstown Academy of Excellence
- Youngstown Al-MC, LLC
- Youngstown Area Jewish Federation
- Youngstown Area Jewish Federation
- Youngstown Associates in Radiology Inc
- Youngstown Behavioral Health Hospital Physician Group LLC
- Youngstown BG Opco LLC
- Youngstown Chiropractic, Inc
- Youngstown City Schools
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.