Organization Active NPI

Comprehensive Care for Women of the Mahoning Valley, Inc

  • Obstetrics & Gynecology Physician
  • Niles, OH
National Provider Identifier
1336398684
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
COMPREHENSIVE CARE FOR WOMEN OF THE MAHONING VALLEY, INC
Practice address
1252 Youngstown Warren Rd
Suite B
Niles, OH 44446-4650
Phone
(330) 505-9581
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Dr. Emad Shawky Baky, M.D.NPI 1922172832
Title
Authorized Official
Phone
(330) 505-9581

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1252 Youngstown Warren Rd
Suite B
Niles, OH 44446-4650

Mailing address

1252 Youngstown Warren Rd
Suite B
Niles, OH 44446-4650
Phone (330) 505-9581

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2003656Comprehensive Care for Women of the Mahoning1252 Youngstown-Warren Road Suite B, Niles, OH 44446Certificate of waiverFeb 15, 2028

National Provider Directory

National Provider Directory

Locations

1252 Youngstown Warren Rd
Ste B
Niles, OH 44446
Phone (330) 505-9581

1838 Niles Cortland Rd SE
Ste A
Warren, OH 44484
Phone (330) 505-9581

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1336398684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 YOUNGSTOWN WARREN RD",
            "address_2": "SUITE B",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464650",
            "telephone_number": "330-505-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 YOUNGSTOWN WARREN RD",
            "address_2": "SUITE B",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464650",
            "telephone_number": "330-505-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARE FOR WOMEN OF THE MAHONING VALLEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "BAKY",
        "authorized_official_first_name": "EMAD",
        "authorized_official_middle_name": "SHAWKY",
        "authorized_official_title_or_position": "AUTHORIZED  OFFICIAL",
        "authorized_official_telephone_number": "330-505-9581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.