Trumbull Mahoning Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TRUMBULL MAHONING MEDICAL GROUP, INC.

Doing business as

TMMG

Practice address

901 Trailwood Dr
Youngstown, OH 44512-5008

Phone

(330) 726-3000

Fax

(330) 726-2612

NPI assigned

Sep 4, 2007

Last updated

Jan 17, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

TRUMBULL MAHONING MEDICAL GROUP, INC.As reported in NPPES

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

Authorized official

Name

Dr. Mourad Rostom, M.D.

Title

Ceo/President

Phone

(330) 372-8820

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• TMMG Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Trumbull Mahoning Medical Group Inc

  dba TMMG Urgent Care

  • Family Medicine Physician
  • Cortland, OH
  • NPI 1639332240

  O20050309000599

  Same enrollment
• Trumbull Mahoning Medical Group, Inc.

  • Internal Medicine Physician
  • Cortland, OH
  • NPI 1205020104

  O20050309000599

  Same enrollment
• Trumbull Mahoning Medical Group, Inc.

  • Internal Medicine Physician
  • Cortland, OH
  • NPI 1285642769

  O20050309000599

  Same enrollment
• Trumbull Mahoning Medical Group, Inc.

  • Internal Medicine Physician
  • Youngstown, OH
  • NPI 1538353883

  O20050309000599

  Same enrollment

Part of

Trumbull Mahoning Medical Group Inc

Locations

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1578757472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 TRAILWOOD DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125008",
            "telephone_number": "330-726-3000",
            "fax_number": "330-726-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 TRAILWOOD DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125008",
            "telephone_number": "330-726-3000",
            "fax_number": "330-726-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUMBULL MAHONING MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUMBULL MAHONING MEDICAL GROUP, INC.",
        "enumeration_date": "2007-09-04",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "ROSTOM",
        "authorized_official_first_name": "MOURAD",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "330-372-8820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS PA",
            "identifier": "1426141",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0468677",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS OHIO",
            "identifier": "000000243183",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TMMG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Triplett
• Kimberly Triveri, RDN, LD
• Vincent Trolio, BCBA
• Jennifer Troyer, PHARMD
• Trumbull Mahoning Medical Group, Inc.
• Chelbey Trump
• Trusted Hands Home Care LLC
• Allen Tsai, MD
• Robert Tsai, CRNA
• Richmond Tsala

• Internal Medicine Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Internal Medicine Physician in Ohio

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