NPIMap

Individual provider Active NPI

Vasiliki A Vamvakis, M.D.

  • Family Medicine Physician
  • Canfield, OH
National Provider Identifier
1356796429
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.136119 Issued in OH
Practice address
3660 Stutz Dr Ste 102
Canfield, OH 44406-8149
Phone
(330) 702-1585
Fax
(330) 702-1383
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.136119 OH Primary

Addresses

Primary practice location

3660 Stutz Dr Ste 102
Canfield, OH 44406-8149

Mailing address

542 Neoka Dr
Campbell, OH 44405-1261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190904003362 OH Practitioner - Family Practice 2567753064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

Practice addresses (Care Compare)

3660 Stutz Dr
Suite 102
Canfield, OH 44406-8149
Phone (330) 702-1585

Hospital & facility affiliations

  • Patriot Homecare, Inc Home health agency, Girard, OH, CCN 368406
  • Mercy Health Home Care -Youngstown Home health agency, Girard, OH, CCN 367518
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352
  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • Salem Regional Medical Center Hospital, Salem, OH, CCN 360185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.136119OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC Family Medicine CurrentSince Sep 3, 2019 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Sep 3, 2019 Accepting new patients

Locations

3660 Stutz Dr
Ste 102
Canfield, OH 44406
Phone (330) 702-1585

250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010

1053 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-3605

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: vvamvakis133903@direct.bsmhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1356796429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 NEOKA DR",
            "city": "CAMPBELL",
            "state": "OH",
            "postal_code": "444051261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 STUTZ DR STE 102",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068149",
            "telephone_number": "330-702-1585",
            "fax_number": "330-702-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAMVAKIS",
        "first_name": "VASILIKI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.136119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.