St. George Medical Practice, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST. GEORGE MEDICAL PRACTICE, INC.

Practice address

1254 Youngstown Warren Rd
Suite 3 a
Niles, OH 44446-4651

Phone

(330) 652-3000

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Heba L Mikhail, M.D.

Title

President

Phone

(330) 652-3000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1366522583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 YOUNGSTOWN WARREN RD",
            "address_2": "SUITE 3 A",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464651",
            "telephone_number": "330-652-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 YOUNGSTOWN WARREN RD",
            "address_2": "SUITE 3 A",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464651",
            "telephone_number": "330-652-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GEORGE MEDICAL PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "HEBA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-652-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernice May Spencer
• Celeste T Spencer
• Nicholas Speziale
• Tabbethia A Squezello
• Patricia M St Clair
• Allison St. George, MA,MT-BC,NMT
• Deserae Eugena Staggers, LPN
• Kandra Starks
• Sara G. Stein, LPC, ATR-P, MA
• Anistyn Steiner

• Internal Medicine Physician in Niles, OH
• Providers in Niles, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.