Organization Active NPI

Walter Paladino MD LLC

  • Specialist
  • Youngstown, OH
National Provider Identifier
1568551513
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35072120P Issued in OH
Legal business name
WALTER PALADINO MD LLC
Practice address
540 Parmalee Ave
Ste 200
Youngstown, OH 44510-1605
Phone
(330) 744-2883
Fax
(330) 744-3935
NPI assigned
Oct 11, 2006
Last updated
Sep 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Dr. Walter P Paladino, MD
Title
Physician
Phone
(330) 744-2883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35072120P OH Primary

Addresses

Primary practice location

540 Parmalee Ave
Ste 200
Youngstown, OH 44510-1605

Mailing address

540 Parmalee Ave Ste 200
Youngstown, OH 44510-1717
Phone (330) 744-2883

Other identifiers 1

IdentifierTypeStateIssuer
2009687MedicaidOH

National Provider Directory

National Provider Directory

Locations

540 Parmalee Ave
Ste 200
Youngstown, OH 44510
Phone (330) 744-2883

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1568551513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE STE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101717",
            "telephone_number": "330-744-2883",
            "fax_number": "330-744-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE",
            "address_2": "STE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101605",
            "telephone_number": "330-744-2883",
            "fax_number": "330-744-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER PALADINO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "PALADINO",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-744-2883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35072120P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009687",
            "state": "OH"
        }
    ],
    "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 Sep 2, 2010; 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.