Individual provider Active NPI

John Joseph Vargo, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Austintown, OH
National Provider Identifier
1316930100
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
34-00-4553 Issued in OH
Practice address
5480 Norquest Blvd
Austintown, OH 44515-1820
Phone
(330) 799-8000
Fax
(330) 799-8579
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 34-00-4553 OH Primary

Addresses

Primary practice location

5480 Norquest Blvd
Austintown, OH 44515-1820

Mailing address

5480 Norquest Blvd
Austintown, OH 44515-1820
Phone (330) 799-8000

Other identifiers 1

IdentifierTypeStateIssuer
0744190MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1316930100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 NORQUEST BLVD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151820",
            "telephone_number": "330-799-8000",
            "fax_number": "330-799-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 NORQUEST BLVD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151820",
            "telephone_number": "330-799-8000",
            "fax_number": "330-799-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGO",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "34-00-4553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0744190",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.