Active NPI
Joseph B Masternick DO Inc
- General Practice Physician
- Boardman, OH
National Provider Identifier
1710130018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 34-00-2093
- Legal business name
- JOSEPH B MASTERNICK DO INC
- Practice address
- 914 Trailwood Dr
Boardman, OH 44512-5007 - Phone
- (330) 758-4568
- Fax
- (330) 758-5683
- NPI assigned
- Oct 30, 2008
- 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
- Loretta Burnich
- Title
- Office Manager
- Phone
- (330) 758-4568
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 34-00-2093 | OH | Primary |
Addresses
Primary practice location
914 Trailwood Dr
Boardman, OH 44512-5007
Mailing address
PO Box 14290
Poland, OH 44514-7290
Phone (330) 758-4568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Boardman, OH
- NPI 1669491569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272844800000",
"number": "1710130018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14290",
"city": "POLAND",
"state": "OH",
"postal_code": "445147290",
"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": {
"organization_name": "JOSEPH B MASTERNICK DO INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-30",
"last_updated": "2010-05-03",
"status": "A",
"authorized_official_last_name": "BURNICH",
"authorized_official_first_name": "LORETTA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "330-758-4568"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "OH",
"license": "34-00-2093",
"primary": true
}
],
"identifiers": [],
"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 May 3, 2010; 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.