Organization Active NPI

John S Venglarcik III

Doing business as John S Venglarcik III, MD

  • Pediatric Infectious Diseases Physician
  • Boardman, OH
National Provider Identifier
1558774133
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
350488666 Issued in OH
Legal business name
JOHN S VENGLARCIK III
Doing business as
John S Venglarcik III, MD
Practice address
819 McKay CT Ste B3
Boardman, OH 44512-5771
Phone
(330) 884-3993
Fax
(330) 884-0516
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Margaret Venglarcik
Title
Manager
Phone
(330) 884-3993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0208X 350488666 OH Primary

Addresses

Primary practice location

819 McKay CT Ste B3
Boardman, OH 44512-5771

Mailing address

819 McKay CT Ste B3
Boardman, OH 44512-5771
Phone (330) 884-3993

Other names 1

  • John S Venglarcik III, MD Doing business as

National Provider Directory

National Provider Directory

Locations

819 McKay Ct
Ste B3
Youngstown, OH 44512
Phone (330) 884-3993

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1558774133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 MCKAY CT STE B3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125771",
            "telephone_number": "330-884-3993",
            "fax_number": "888-439-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 MCKAY CT STE B3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125771",
            "telephone_number": "330-884-3993",
            "fax_number": "330-884-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S VENGLARCIK III",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "VENGLARCIK",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "330-884-3993"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "OH",
            "license": "350488666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John S Venglarcik III, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "John S Venglarcik III, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.