Active NPI
Mahoning Valley Emergency Specialists
- Emergency Medicine Physician
- Youngstown, OH
National Provider Identifier
1689602765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- MAHONING VALLEY EMERGENCY SPECIALISTS
- Practice address
- 8401 Market St
Youngstown, OH 44512-6777 - Phone
- (330) 729-2929
- Fax
- (330) 656-5901
- NPI assigned
- Jun 29, 2006
- Last updated
- Jan 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Hite
- Title
- Chief Revenue Officer
- Phone
- (240) 686-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
8401 Market St
Youngstown, OH 44512-6777
Mailing address
20010 Century Blvd Ste 200
Germantown, MD 20874-1118
Phone (240) 686-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2214160 | Medicaid | OH |
Other names 1
- Mahoning Valley Emergency Specialists-Market St.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547251200000",
"number": "1689602765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20010 CENTURY BLVD STE 200",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741118",
"telephone_number": "240-686-2300",
"fax_number": "240-686-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 MARKET ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445126777",
"telephone_number": "330-729-2929",
"fax_number": "330-656-5901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHONING VALLEY EMERGENCY SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2019-01-12",
"status": "A",
"authorized_official_last_name": "HITE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
"authorized_official_telephone_number": "240-686-2300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2214160",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mahoning Valley Emergency Specialists-Market St.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Youngstown, OH
- Mahoning Lab Solutions, LLC. (Any Lab Test Now - Youngstown)
- Mahoning Medical Equipment Inc. (Mahoning Medical Supply Inc.)
- Mahoning Unlimited Classroom
- Mahoning Valley Birth Center LLC
- Mahoning Valley Dental Services
- Mahoning Valley Emergency Specialists LLC
- Mahoning Valley Hematology Oncology Assoc. Inc.
- Mahoning Valley Imaging LTD
- Mahoning Valley Infusioncare, Inc
- Mahoning Valley Physicians LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.