Organization Active NPI

Northeastern Ohio Infectious Disease Association Inc

  • Infectious Disease Physician
  • Youngstown, OH
National Provider Identifier
1497769707
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
NORTHEASTERN OHIO INFECTIOUS DISEASE ASSOCIATION INC
Practice address
540 Parmalee Ave
Ste. 610
Youngstown, OH 44510-1605
Phone
(330) 744-4369
Fax
(330) 744-1728
NPI assigned
Jul 29, 2006
Last updated
Dec 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Dr. Anthony F. Cutrona, MDNPI 1225010226
Title
Ceo
Phone
(330) 744-4369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

540 Parmalee Ave
Ste. 610
Youngstown, OH 44510-1605

Mailing address

PO Box 2163
Youngstown, OH 44504-0163
Phone (330) 744-4369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061013000102 OH Part B Supplier - Clinic/Group Practice 5799781829 Receives reassigned benefits from 14 practitioners
Practice locations: Boardman, OH

National Provider Directory

National Provider Directory
Tax ID family
Northeastern Ohio Infectious Disease Association Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1497769707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2163",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445040163",
            "telephone_number": "330-744-4369",
            "fax_number": "330-744-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE",
            "address_2": "STE. 610",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101605",
            "telephone_number": "330-744-4369",
            "fax_number": "330-744-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN OHIO INFECTIOUS DISEASE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "CUTRONA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-744-4369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.