Boardman Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BOARDMAN CLINIC

Practice address

7000 South Ave Ste 6
Boardman, OH 44512-3644

Phone

(330) 507-0625

NPI assigned

Oct 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. John C Igwe, DO, PHD

Title

Medical Director

Phone

(330) 507-0625

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1316728264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 LEFFINGWELL RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069104",
            "telephone_number": "330-507-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SOUTH AVE STE 6",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123644",
            "telephone_number": "330-507-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARDMAN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "IGWE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "330-507-0625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Octavia Bleahu
• Albert M Bleggi, M.D.
• Nancy A Bleggi, LPCC
• Brad E. Bloomberg, O.D.
• Jason Blosser, RDMS
• Boardman Dialysis Center LLC
• Boardman Local School District
• Boardman Medical Supply Co
• Boardman Township Trustees
• Christopher J Bobeczko, O.D.

• Primary Care Clinic/Center in Boardman, OH
• Providers in Boardman, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.