Gene Pusateri DPM Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36001684 Issued in OH

Legal business name

GENE PUSATERI DPM INC

Practice address

80 E Midlothian Blvd
Youngstown, OH 44507-2019

Phone

(330) 782-6113

Fax

(330) 782-9676

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gene J. Pusateri, D.P.M.

Title

President

Phone

(330) 782-6113

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1386702108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E MIDLOTHIAN BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445072019",
            "telephone_number": "330-782-6113",
            "fax_number": "330-782-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E MIDLOTHIAN BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445072019",
            "telephone_number": "330-782-6113",
            "fax_number": "330-782-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE PUSATERI DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "PUSATERI",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-782-6113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36001684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227632",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Gemmell
• Brock Generalovich, D.O.
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• Generations Behavioral Health-Youngstown, LLC
• Generations Behavioral Health, Youngstown, LLC
• Genesis National Alliance LLC

• All providers in Youngstown, OH
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.