Organization Active NPI

Michael P Stanich DO Inc

  • Orthopaedic Surgery Physician
  • Youngstown, OH
National Provider Identifier
1861724619
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34003460 Issued in OH
Legal business name
MICHAEL P STANICH DO INC
Practice address
7067 Tiffany Blvd
Suite 150
Youngstown, OH 44514-1981
Phone
(330) 726-9077
Fax
(330) 726-8715
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Michael P Stanich, DO
Title
President
Phone
(330) 726-9077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 34003460 OH Primary

Addresses

Primary practice location

7067 Tiffany Blvd
Suite 150
Youngstown, OH 44514-1981

Mailing address

7067 Tiffany Blvd
Suite 150
Youngstown, OH 44514-1981
Phone (330) 726-9077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1861724619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7067 TIFFANY BLVD",
            "address_2": "SUITE 150",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141981",
            "telephone_number": "330-726-9077",
            "fax_number": "330-726-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 TIFFANY BLVD",
            "address_2": "SUITE 150",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141981",
            "telephone_number": "330-726-9077",
            "fax_number": "330-726-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P STANICH DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "STANICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-726-9077",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "34003460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 18, 2013; 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.