Midlothian Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MIDLOTHIAN MEDICAL CENTER INC

Practice address

2010 E Midlothian Blvd
Youngstown, OH 44502-2951

Phone

(330) 788-8791

Fax

(330) 788-4033

NPI assigned

Nov 11, 2005

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Russell A MorrisonNPI 1699773259

Title

President Owner

Phone

(330) 788-8791

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell Allan Morrison III, D.O.

  • Family Medicine Physician
  • Youngstown, OH
  • NPI 1699773259
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph James Gallo, DO

  • Family Medicine Physician
  • Youngstown, OH
  • NPI 1376540195
  Medicare reassignment Care Compare group NPD
• Rachel Elizabeth Mould, PA-C

  • Physician Assistant
  • Boardman, OH
  • NPI 1730546599
  Medicare reassignment

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1407837826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E MIDLOTHIAN BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022951",
            "telephone_number": "330-788-8791",
            "fax_number": "330-788-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E MIDLOTHIAN BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022951",
            "telephone_number": "330-788-8791",
            "fax_number": "330-788-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLOTHIAN MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "330-788-8791",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0282171",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Kapon MD LLC
• Corey Mickel
• Ebony Sierra Mickel
• Ivory Mickel
• Midlothian Medical Center 2LLC
• Nicholas Mihalik, PHARMD
• Ronald J Mihalko, OD
• Brittany Lynne Mihaly, PA-C
• Gerald Albert Mihok, D.O.
• Eivilin Mikhail

• Family Medicine Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.