DMHD Family Practice, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35075817 Issued in OH

Legal business name

DMHD FAMILY PRACTICE, INC.

Practice address

1320 Belmont Ave Ste 2
Youngstown, OH 44504-1130

Phone

(330) 746-0607

Fax

(330) 744-2101

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

David Michael Davis, M.D.NPI 1982678272

Title

Ceo

Phone

(330) 746-0607

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Michael Davis, MD

  • Family Medicine Physician
  • Youngstown, OH
  • NPI 1982678272
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1821284159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 BELMONT AVE STE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041130",
            "telephone_number": "330-746-0607",
            "fax_number": "330-744-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 BELMONT AVE STE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041130",
            "telephone_number": "330-746-0607",
            "fax_number": "330-744-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMHD FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-746-0607",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35075817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2123580",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anuya Diwan, B.D.S.
• Andrea Lyn Dixon-Theisler, CNS-BC
• Amber Lureacie Estelle Dixon
• Tyjai Dixon
• Brenda Dixson
• Sung R. DO, LISW
• Rachael Dobson
• Janelle Elissa Dodge
• Hamza Dodo, DDS
• Autumn Nicole Dodson, INDEPENDENT PROVIDER

• Family Medicine Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.

Verify at the official NPI Registry.