Julianne Demartino, M.D., LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35073590 Issued in OH

Legal business name

JULIANNE DEMARTINO, M.D., LLC

Practice address

935 Trailwood Dr
Suite a
Boardman, OH 44512-5062

Phone

(330) 629-2410

Fax

(330) 629-2420

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Julianne Demartino, M.D.

Title

Doctor

Phone

(330) 629-2410

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396890141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 TRAILWOOD DR",
            "address_2": "SUITE A",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125062",
            "telephone_number": "330-629-2410",
            "fax_number": "330-629-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 TRAILWOOD DR",
            "address_2": "SUITE A",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125062",
            "telephone_number": "330-629-2410",
            "fax_number": "330-629-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIANNE DEMARTINO, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMARTINO",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "330-629-2410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35073590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206875",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Boardman, OH
• Providers in Boardman, 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 Aug 22, 2020; 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.