Individual provider Active NPI

Pamela Guerriere-Kovach, M.D.

  • Dermatopathology (Pathology) Physician
  • Youngstown, OH
National Provider Identifier
1396733218
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
35074029 Issued in OH
Practice address
5208 Mahoning Ave Ste 208
Youngstown, OH 44515-1859
Phone
(330) 799-9270
Fax
(330) 799-2295
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X ME84498 FL
Specialist 174400000X 35074029G OH
Dermatopathology (Pathology) Physician 207ZD0900X 0101231016 VA
Dermatopathology (Pathology) Physician 207ZD0900X 35074029 OH Primary
Dermatopathology (Pathology) Physician 207ZD0900X MD216851 OR
Dermatopathology (Pathology) Physician 207ZD0900X MD418830 PA
Dermatopathology (Pathology) Physician 207ZD0900X 20881 WV

Addresses

Primary practice location

5208 Mahoning Ave Ste 208
Youngstown, OH 44515-1859

Mailing address

6487 Mahoning Ave Ste F
Youngstown, OH 44515-2025
Phone (330) 559-4129

Other identifiers 10

IdentifierTypeStateIssuer
7910405OtherOHAETNA
300177497002OtherOHMEDICAL MUTUAL
000000285461OtherOHANTHEM
000000282926OtherOHANTHEM BCBS
6703070000MedicaidWV
1101310OtherOHUNITED HEALTHCARE
2407818MedicaidOH
341952521003OtherOHMEDICAL MUTUAL
010128099MedicaidVA
300177497OtherOHUNITED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110307000604 OH Practitioner - Pathology 1456533876 Reassigns benefits to 2 organizations
I20240131004210 OR Practitioner - Pathology 1456533876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Northeastern Ohio University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Choice DermatologyGroup PAC ID 4789005034, 47 clinicians

Practice addresses (Care Compare)

1023 Main St
Sweet Home, OR 97386-1515
Phone (541) 316-6575

123 C Ave
Lake Oswego, OR 97034-2353
Phone (541) 316-6575

6487 Mahoning Ave
Suite F
Austintown, OH 44515-2025
Phone 5413166575184

966 12TH St SE
Suite 130
Salem, OR 97302-2860
Phone (503) 837-6395

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35074029GOHMDSpecialist
ME84498FLMDDermatopathology (Pathology) Physician
35074029OHMDDermatopathology (Pathology) Physician
MD418830PAMDDermatopathology (Pathology) Physician
0101231016VAMDDermatopathology (Pathology) Physician
20881WVMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ganzer - Hahn Dermatology Associates, PLLC CurrentSince Dec 2, 2024 Accepting new patients
Clear Choice Dermatology CurrentSince Nov 12, 2023 Accepting new patients

Locations

2146 Southgate Pkwy
Cambridge, OH 43725
Phone (740) 432-1963

899 E Iron Ave
Dover, OH 44622
Phone (330) 364-4404

15700 State Route 170
Ste A
East Liverpool, OH 43920
Phone (304) 232-7151

6487 Mahoning Ave
Ste F
Youngstown, OH 44515
Phone 5413166575184

123 C Ave
Lake Oswego, OR 97034
Phone (702) 550-9784

1610 12th St SE
Salem, OR 97302
Phone (801) 837-6395

966 12th St SE
Ste 130
Salem, OR 97302
Phone (503) 540-7477

1023 Main St
Sweet Home, OR 97386
Phone (541) 255-1234

1825 E 19th St
The Dalles, OR 97058
Phone (541) 506-6440

1815 E 19th St
Ste B
The Dalles, OR 97058
Phone 5413166575184

300 Wharton Cir
Ste 180
Triadelphia, WV 26059
Phone (304) 547-0007

2101 Chapline St
Wheeling, WV 26003
Phone (304) 232-7151

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1396733218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6487 MAHONING AVE STE F",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152025",
            "telephone_number": "330-559-4129",
            "fax_number": "330-799-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 MAHONING AVE STE 208",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445151859",
            "telephone_number": "330-799-9270",
            "fax_number": "330-799-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRIERE-KOVACH",
        "first_name": "PAMELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME84498",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
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        {
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        },
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            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "OR",
            "license": "MD216851",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "PA",
            "license": "MD418830",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "WV",
            "license": "20881",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7910405",
            "state": "OH"
        },
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            "issuer": "MEDICAL MUTUAL",
            "identifier": "300177497002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000285461",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000282926",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6703070000",
            "state": "WV"
        },
        {
            "code": "01",
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            "issuer": "UNITED HEALTHCARE",
            "identifier": "1101310",
            "state": "OH"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "2407818",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "341952521003",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010128099",
            "state": "VA"
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        {
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            "issuer": "UNITED",
            "identifier": "300177497",
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    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.