Northeastern Ohio Infectious Disease Association Inc
Organization Active NPI Infectious Disease Physician · Youngstown, OH
NPI 1497769707 · NPPES record last updated Dec 17, 2014
Key facts
- NPI
- 1497769707
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony F. Cutrona, MD
- Title
- Ceo
- Phone
- (330) 744-4369
Corporate family (same tax ID) 2
Practitioners 16
-
Jennifer Anne Bayer, APRN-CNP
-
Lisa J Cascarelli, ACNP-BC
-
Andrea Lyn Dixon-Theisler, CNS-BC
-
Indra P Limbu, MD
-
Munir Shah, MD
-
Jessica Lynn Vesa, CNP
-
Arindam Ghatak, MD
-
Talishia Marie Jones, MSN, APRN, AGNP-C
-
Frank A Kaydo, CNS
-
Mahmoud W Sallah, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061013000102 | OH | Part B Supplier - Clinic/Group Practice | 5799781829 |
Receives reassigned benefits from 14 practitioners Practice locations: Boardman, OH |
National Provider Directory
- Tax ID family
- Northeastern Ohio Infectious Disease Association Inc
Locations
540 Parmalee Ave
Ste 610
Youngstown, OH 44510
Phone (330) 480-2078
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician |
207RI0200X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0981817 | Medicaid | OH |
Other providers in Youngstown, OH
- Ayesha Norris
- Victoria Norris
- Cody North
- Jeanise Monifa North
- Jenell N North
- Northeastern Ohio Infectious Disease Association, Inc
- Northeastern Ohio Infectious Disease Association, Inc.
- Northern Ohio Medical Specialists, LLC
- Northside Medical Center
- Novacare Rehabilitation of Ohio, Inc.
All providers in Youngstown, OH · Infectious Disease Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.