Individual provider Active NPI

Giorgio James Vescera, M.D.

  • Pediatrics Physician
  • Warren, OH
National Provider Identifier
1407828304
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35-084263 Issued in OH
Practice address
2875 Parkman Rd NW
Warren, OH 44485-1639
Phone
(330) 898-1486
Fax
(330) 898-4530
NPI assigned
Feb 3, 2006
Last updated
Jul 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-084263 OH Primary

Addresses

Primary practice location

2875 Parkman Rd NW
Warren, OH 44485-1639

Mailing address

2875 Parkman Rd NW
Warren, OH 44485-1639
Phone (330) 898-1486

Other identifiers 1

IdentifierTypeStateIssuer
2510812MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-084263OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Youngstown LLC Past Accepting new patients
Giorgio Vescera, LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gvescera34991@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1407828304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 PARKMAN RD NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444851639",
            "telephone_number": "330-898-1486",
            "fax_number": "330-898-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 PARKMAN RD NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444851639",
            "telephone_number": "330-898-1486",
            "fax_number": "330-898-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESCERA",
        "first_name": "GIORGIO",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-084263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2510812",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.