Active NPI
Foundation Health Care, Inc
- Family Medicine Physician
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FOUNDATION HEALTH CARE, INC
- Practice address
- 821 McCartney Rd
Youngstown, OH 44505-5000 - Phone
- (330) 743-4440
- Fax
- (330) 743-4488
- NPI assigned
- Apr 6, 2007
- Last updated
- Apr 10, 2008
- 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
- Michael B Evan, MD
- Title
- President
- Phone
- (330) 707-1425
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU |
Addresses
Primary practice location
821 McCartney Rd
Youngstown, OH 44505-5000
Mailing address
6615 Clingan Road
Suite D
Poland, OH 44514-4202
Phone (330) 707-1425
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0928009 | Medicaid | OH | |
| 0542578 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Family Medicine Physician
- Youngstown, OH
- NPI 1619090891
O20071106000311
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Legent Hospital of El Paso
- General Acute Care Hospital
- El Paso, TX
- NPI 1669655601
Member Of
Locations
6615 Clingan Rd
Ste D
Youngstown, OH 44514
Phone (330) 707-1425
Practitioners & affiliated clinicians
Practitioners 4
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
- Poland, OH
- NPI 1336123124
-
- Internal Medicine Physician
- Youngstown, OH
- NPI 1073597472
-
- Family Medicine Physician
- Boardman, OH
- NPI 1467436261
-
- Family Medicine Physician
- Poland, OH
- NPI 1497730857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207785600000",
"number": "1205958519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6615 CLINGAN ROAD",
"address_2": "SUITE D",
"city": "POLAND",
"state": "OH",
"postal_code": "445144202",
"telephone_number": "330-707-1425",
"fax_number": "330-757-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 MCCARTNEY RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445055000",
"telephone_number": "330-743-4440",
"fax_number": "330-743-4488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNDATION HEALTH CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2008-04-10",
"status": "A",
"authorized_official_last_name": "EVAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-707-1425",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0928009",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0542578",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 10, 2008; 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.