Anthony P. Koulianos MD Inc

Primary specialty

Obesity Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VB0002X

License

35072348 Issued in OH

Legal business name

ANTHONY P. KOULIANOS MD INC

Practice address

935 Trailwood Dr
Suite a
Youngstown, OH 44512-5062

Phone

(330) 953-3204

Fax

(330) 953-3206

NPI assigned

May 1, 2013

Last updated

Jun 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony P Koulianos, M.D.NPI 1013997451

Title

Owner

Phone

(330) 953-3204

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Locations

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.

• Anthony Peter Koulianos, M.D.

  • Obstetrics & Gynecology Physician
  • Youngstown, OH
  • NPI 1013997451
  Medicare reassignment NPD Authorized official
• Chardina Leigh Murray-Mangino, CNM

  • Advanced Practice Midwife
  • Boardman, OH
  • NPI 1326598020
  Medicare reassignment NPD
• Kelly Ann Labra, FNP-BC

  • Family Nurse Practitioner
  • Youngstown, OH
  • NPI 1003332040
  Medicare reassignment
• Jenna Renee Zorzi

  • Family Nurse Practitioner
  • Youngstown, OH
  • NPI 1629658026

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1336584564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 TRAILWOOD DR",
            "address_2": "SUITE A",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125062",
            "telephone_number": "330-953-3204",
            "fax_number": "330-953-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 TRAILWOOD DR",
            "address_2": "SUITE A",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125062",
            "telephone_number": "330-953-3204",
            "fax_number": "330-953-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY P. KOULIANOS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "KOULIANOS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-953-3204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VB0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": "OH",
            "license": "35072348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021010",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeena Anness, SLP
• Karen Marie Anobile, APRN
• Carl Franklin Ansevin, MD
• Franklin E Ansevin, PAC
• Anthony E Bisconti DDS Inc
• Toomas Anton, M.D.
• Gaby B Aoun, M.D.
• Nicollette Aponte
• Kweku Appiah Appau, M.D
• Thomas Carl Appel, LPCC

• Obstetrics & Gynecology Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.