Individual provider Active NPI

Austin William Grewe, PA-C

  • Physician Assistant
  • Youngstown, OH
National Provider Identifier
1770058182
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.008642RX Issued in OH
Practice address
7629 Market St Ste 100
Youngstown, OH 44512-6051
Phone
(234) 287-6547
Fax
(330) 965-4889
NPI assigned
Oct 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA060214 PA
Physician Assistant 363A00000X 50.008642RX OH Primary

Addresses

Primary practice location

7629 Market St Ste 100
Youngstown, OH 44512-6051

Mailing address

100 Debartolo PL Ste 200
Youngstown, OH 44512-6095
Phone (234) 287-6547

Other practice location 1

16687 Saint Clair Ave Ste 101
Calcutta, OH 43920-9401
Phone (330) 967-1793

Other identifiers 1

IdentifierTypeStateIssuer
0390274MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181231001834 PA Practitioner - Physician Assistant 1355686932 Reassigns benefits to 1 organization
I20240716001680 OH Practitioner - Physician Assistant 1355686932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

16687 Saint Clair Ave
East Liverpool, OH 43920-9401

7629 Market St
Youngstown, OH 44512-6051

Hospital & facility affiliations

  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352
  • East Liverpool City Hospital Hospital, East Liverpool, OH, CCN 360096
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: austingrewe@hvhs.allscriptsdirect.net

Organizations & group practices 3

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 3

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": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1770058182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEBARTOLO PL STE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126095",
            "telephone_number": "234-287-6547",
            "fax_number": "330-965-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 MARKET ST STE 100",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126051",
            "telephone_number": "234-287-6547",
            "fax_number": "330-965-4889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16687 Saint Clair Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Calcutta",
            "state": "OH",
            "postal_code": "439209401",
            "country_code": "US",
            "telephone_number": "330-967-1793",
            "fax_number": "234-338-9722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREWE",
        "first_name": "AUSTIN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-11",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060214",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008642RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.