Active NPI
Joseph Burton Masternick, D.O.
- Family Medicine Physician
- Boardman, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.002093
- Practice address
- 914 Trailwood Dr
Boardman, OH 44512-5007 - Phone
- (330) 758-4568
- Fax
- (330) 758-5683
- NPI assigned
- Jul 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.002093 | OH | Primary |
Addresses
Primary practice location
914 Trailwood Dr
Boardman, OH 44512-5007
Mailing address
P.O. Box 14290
Poland, OH 44514
Phone (330) 758-4568
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0273985 | Medicaid | OH | |
| 000000128887 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Kansas City College of Medicine and Surgery, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5250 Windsor Way
New Middletown, OH 44442-7746
Phone (330) 542-9542
819 McKay CT
Suite 102
Boardman, OH 44512-5771
Phone (330) 259-4849
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2093 | OH | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addiction Outreach Clinic LTD | Current | Accepting new patients | |
| Pinnacle Integrated Health, LLC | Current | Accepting new patients | |
| Joseph B Masternick DO Inc | Current | Accepting new patients | |
| Physicians Diagnostic & Rehabilitation Center Inc | Past | Accepting new patients | |
| Omni Manor, Inc. | Past | Accepting new patients | |
| Prima Health Care LLC | Past | Accepting new patients |
Locations
184 Currie Hall Pkwy
Ste 2
Kent, OH 44240
Phone (330) 967-8077
5250 Windsor Way
New Middletwn, OH 44442
Phone (330) 518-8676
5342 Meadow Lane Ct
Sheffield Village, OH 44035
Phone (440) 934-2200
819 McKay Ct
Ste 101
Youngstown, OH 44512
Phone (330) 726-7100
819 McKay Ct
Ste 102
Youngstown, OH 44512
Phone (330) 259-4849
914 Trailwood Dr
Youngstown, OH 44512
Phone (330) 758-4568
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Masternick Memorial Health Care Center | Skilled nursing facility | Adp of the SNF | Jul 20, 2009 |
Owned or controlled facilities with NPI records 1
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Boardman, OH
- NPI 1356612261
-
- General Practice Physician
- Boardman, OH
- NPI 1710130018
-
- Chiropractor
- Boardman, OH
- NPI 1407204639
-
- Skilled Nursing Facility
- New Middletown, OH
- NPI 1497994610
-
- Chiropractor
- Boardman, OH
- NPI 1417058009
-
- Internal Medicine Physician
- North Lima, OH
- NPI 1750318184
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Canfield, OH
- NPI 1386136737
-
dba Sanctuary Hospice
- Community Based Hospice Care Agency
- Canfield, OH
- NPI 1952692543
-
dba Mercy Health Hospice of the Valley by Compassus
- Community Based Hospice Care Agency
- Girard, OH
- NPI 1053139915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669491569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 14290",
"city": "POLAND",
"state": "OH",
"postal_code": "44514",
"telephone_number": "330-758-4568",
"fax_number": "330-758-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 TRAILWOOD DR",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125007",
"telephone_number": "330-758-4568",
"fax_number": "330-758-5683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERNICK",
"first_name": "JOSEPH",
"middle_name": "BURTON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.002093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0273985",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000128887",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.