Individual provider Active NPI

Frank Yannucci, D.P.M.

  • Podiatrist
  • Boardman, OH
National Provider Identifier
1891792115
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.00-3061 Issued in OH
Practice address
755 Boardman Canfield Rd
Building F Unit 1
Boardman, OH 44512-4300
Phone
(330) 726-3668
Fax
(330) 726-3669
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
362WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frank Yannucci DPM Inc Podiatrist Current Accepting new patients
Ankle and Foot Care Centers Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36.00-3061 OH Primary
Podiatrist 213E00000X 362 WV

Addresses

NPPES NPI Registry

Primary practice location

755 Boardman Canfield Rd
Building F Unit 1
Boardman, OH 44512-4300

Mailing address

PO Box 80
Hubbard, OH 44425-0080
Phone (330) 726-3668

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
000000376872OtherOHANTHEMBCBS
01801211MedicaidPA
2197939MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2011.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1891792115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444250080",
            "telephone_number": "330-726-3668",
            "fax_number": "330-726-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 BOARDMAN CANFIELD RD",
            "address_2": "BUILDING F UNIT 1",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124300",
            "telephone_number": "330-726-3668",
            "fax_number": "330-726-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNUCCI",
        "first_name": "FRANK",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.00-3061",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "362",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBCBS",
            "identifier": "000000376872",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01801211",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197939",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.