Individual provider Active NPI

Gloria Perry Catterlin, D.O.

  • Family Medicine Physician
  • Mineral Ridge, OH
National Provider Identifier
1447245576
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-00-3602 Issued in OH
Practice address
1360 N Canfield Niles Rd
Mineral Ridge, OH 44440-9600
Phone
(330) 652-6556
Fax
(330) 652-6390
NPI assigned
Sep 14, 2005
Last updated
Oct 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-00-3602 OH Primary

Addresses

Primary practice location

1360 N Canfield Niles Rd
Mineral Ridge, OH 44440-9600

Mailing address

1360 N Canfield Niles Rd
Mineral Ridge, OH 44440-9600
Phone (330) 652-6556

Other identifiers 2

IdentifierTypeStateIssuer
0637930MedicaidOH
H133911OtherOHMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000312 OH Practitioner - Family Practice 0042404162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Physicians and Surgeons (Iowa), 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

Practice addresses (Care Compare)

1044 Belmont Ave
FL 3
Youngstown, OH 44504-1006
Phone (330) 729-3877

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC Family Medicine Current Accepting new patients
Richard L. Catterlin, D.O., Inc. Family Medicine Current Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Apr 28, 2013 Accepting new patients

Locations

1360 N Canfield Niles Rd
Mineral Ridge, OH 44440
Phone (330) 652-6556

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

1044 Belmont Ave
Fl 3
Youngstown, OH 44504
Phone (330) 729-3877

250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010

Interoperability endpoints

  • Direct secure messaging: gcatterlin34703@direct.bsmhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1447245576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N CANFIELD NILES RD",
            "city": "MINERAL RIDGE",
            "state": "OH",
            "postal_code": "444409600",
            "telephone_number": "330-652-6556",
            "fax_number": "330-652-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N CANFIELD NILES RD",
            "city": "MINERAL RIDGE",
            "state": "OH",
            "postal_code": "444409600",
            "telephone_number": "330-652-6556",
            "fax_number": "330-652-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATTERLIN",
        "first_name": "GLORIA",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-3602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0637930",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H133911",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Ridge, OH

Sources for this page

Verify at the official NPI Registry.