Organization Active NPI

Phillip E. Balmenti, James S. Tavolario & Gene J. Pusateri PTR

Doing business as McGuffey Podiatry Center

  • Podiatrist
  • Youngstown, OH
National Provider Identifier
1770692766
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PHILLIP E. BALMENTI, JAMES S. TAVOLARIO & GENE J. PUSATERI PTR
Doing business as
McGuffey Podiatry Center
Practice address
1633 McGuffey Rd
Youngstown, OH 44505-3471
Phone
(330) 744-8300
NPI assigned
Aug 30, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. James S Tavolario, DPM
Title
Partner
Phone
(330) 744-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

1633 McGuffey Rd
Youngstown, OH 44505-3471

Mailing address

1633 McGuffey Rd
Youngstown, OH 44505-3471
Phone (330) 744-8300

Other identifiers 1

IdentifierTypeStateIssuer
0626344MedicaidOH

Other names 1

  • McGuffey Podiatry Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1770692766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 MCGUFFEY RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445053471",
            "telephone_number": "330-744-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 MCGUFFEY RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445053471",
            "telephone_number": "330-744-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP E. BALMENTI, JAMES S. TAVOLARIO & GENE J. PUSATERI PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "TAVOLARIO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "330-744-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0626344",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McGuffey Podiatry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.