Active NPI
Frank Yannucci, D.P.M.
- Podiatrist
- Boardman, OH
National Provider Identifier
1891792115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36.00-3061
- 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.
-
- Podiatrist
- Hubbard, OH
- NPI 1083894166
-
- Foot & Ankle Surgery Podiatrist
- Ravenna, OH
- NPI 1154707818
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
| License | State | Type | Specialty |
|---|---|---|---|
| 362 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36.00-3061 | OH | Primary |
| Podiatrist | 213E00000X | 362 | WV |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000376872 | Other | OH | ANTHEMBCBS |
| 01801211 | Medicaid | PA | |
| 2197939 | Medicaid | OH |
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.