NPIMap

Individual provider Active NPI

Constantine G Economus, MD

  • Obstetrics & Gynecology Physician
  • Youngstown, OH
National Provider Identifier
1730170432
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35069246 Issued in OH
Practice address
7641 Market St
Suite 3
Youngstown, OH 44512-6010
Phone
(330) 884-2400
Fax
(330) 884-2018
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35069246 OH Primary

Addresses

Primary practice location

7641 Market St
Suite 3
Youngstown, OH 44512-6010

Mailing address

PO Box 1966
Elyria, OH 44036-1966
Phone (440) 336-5600

Other identifiers 1

IdentifierTypeStateIssuer
2095781MedicaidOH

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
I20040127001215 OH Practitioner - Obstetrics/Gynecology 4587567664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1026 Boardman Canfield Rd
Youngstown, OH 44512-4224
Phone (330) 884-2400

2020 E State St
Suite G
Salem, OH 44460-2479
Phone (330) 884-2400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Obstetrics & Gynecology CurrentSince Apr 1, 2023 Accepting new patients
Progressive Women's Care, Inc. Obstetrics & Gynecology PastSince Jan 1, 1998 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

315 Struthers Liberty Rd
Campbell, OH 44405
Phone (330) 750-1333

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

500 Gypsy Ln
Ste 3
Youngstown, OH 44504
Phone (330) 629-8466

7641 Market St
Ste 3
Youngstown, OH 44512
Phone (330) 729-9140

7600 Southern Blvd
Ste 1
Youngstown, OH 44512
Phone (330) 629-8466

Interoperability endpoints

  • Direct secure messaging: ceconomus34027@direct.bsmhealth.org

Organizations & group practices 4

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

Hospital & facility affiliations 6

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1730170432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1966",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440361966",
            "telephone_number": "440-336-5600",
            "fax_number": "440-366-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7641 MARKET ST",
            "address_2": "SUITE 3",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126010",
            "telephone_number": "330-884-2400",
            "fax_number": "330-884-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECONOMUS",
        "first_name": "CONSTANTINE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35069246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2095781",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.