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Individual provider Active NPI

John Phillip Delliquadri, DO

  • Family Medicine Physician
  • Girard, OH
National Provider Identifier
1619938669
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.004558 Issued in OH
Practice address
116 E Liberty St
Girard, OH 44420
Phone
(330) 545-8643
Fax
(330) 545-6557
NPI assigned
Mar 29, 2006
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.004558 OH Primary

Addresses

Primary practice location

116 E Liberty St
Girard, OH 44420

Mailing address

116 E Liberty St
Girard, OH 44420-2648
Phone (234) 287-9297

Other identifiers 2

IdentifierTypeStateIssuer
1619938669OtherOHNPI
0704009MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070830000380 OH Practitioner - Family Practice 1951494343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David and John Delliqoadri, D.O. IncGroup PAC ID 1254424641, 3 clinicians
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

116 E Liberty St
Girard, OH 44420-2648
Phone (330) 545-8643

121 E Liberty St
Girard, OH 44420-2649
Phone (330) 545-5008

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.004558OHMDFamily Medicine Physician
004558OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
David and John Delliqoadri, D.O. Inc Family Medicine CurrentSince Mar 23, 2000 Accepting new patients
Omni Manor, Inc. PastSince Mar 31, 1997 Accepting new patients
Liberty Health Care Center, Inc. Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
Omni Manor, Inc. Past Accepting new patients

Locations

116 E Liberty St
Girard, OH 44420
Phone (330) 545-8643

121 E Liberty St
Girard, OH 44420
Phone (330) 545-5008

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Liberty Health Care CenterYoungstown, OH, CCN 366113 Skilled nursing facility Adp of the SNF Dec 3, 1996
Omni Manor Health Care CenterYoungstown, OH, CCN 365433 Skilled nursing facility Adp of the SNF Mar 31, 1997

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1619938669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E LIBERTY ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202648",
            "telephone_number": "234-287-9297",
            "fax_number": "330-545-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E LIBERTY ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "44420",
            "telephone_number": "330-545-8643",
            "fax_number": "330-545-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLIQUADRI",
        "first_name": "JOHN",
        "middle_name": "PHILLIP",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.004558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619938669",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0704009",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, OH

Sources for this page

Verify at the official NPI Registry.