Mallory Ann Ucchino, DO
Individual provider Active NPI Family Medicine Physician · North Lima, OH
NPI 1265893127 · NPPES record last updated Jul 1, 2019
Key facts
- NPI
- 1265893127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34.013109CTR (OH)
- Practice address
- 9471 Market St Ste a
North Lima, OH 44452-8702 - Phone
- (330) 726-7100
- Fax
- (330) 758-0347
- NPI assigned
- Mar 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Health Physicians Youngstown Specialty Care LLC
Mercy Health Physicians Youngstown, LLC
Practice addresses (Care Compare)
9471 Market St
Suite a
North Lima, OH 44452-8702
Phone (330) 726-7100
Hospital & facility affiliations
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
- Salem Regional Medical Center
- Surgical Hospital at Southwoods
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190729003251 | OH | Practitioner - Family Practice | 2860750965 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown, LLC | Family Medicine | Current | Accepting new patients |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Youngstown LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current |
Accepting new patients |
Locations
107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
9471 Market St
Ste A
North Lima, OH 44452
Phone (330) 726-7100
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010
Interoperability endpoints
- mucchino129686@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.013109CTR | OH | Yes |
Addresses
Primary practice location
9471 Market St Ste a
North Lima, OH 44452-8702
Mailing address
9471 Market St Ste a
North Lima, OH 44452-8702
Phone (330) 726-7100
Other providers in North Lima, OH
- Jodi Michelle Stewart
- Michael Francis Tatko
- Thebathybuilders.Comllc
- Thomas J Traikoff
- Lauren M Treharn
- Chad L Volovar
- Willow Nursing LLC
- Amanda Winkler
- Jennifer Nicole Zackasee
All providers in North Lima, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.