Patsy Buccino D O Inc

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

004593 Issued in OH

Legal business name

PATSY BUCCINO D O INC

Practice address

624 Youngstown Poland Rd
Struthers, OH 44471-1106

Phone

(330) 755-1495

Fax

(330) 755-1497

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Dianna L Baker

Title

Office Manager

Phone

(330) 755-1495

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Vincent Joseph Malkovits, D.O.

  • Internal Medicine Physician
  • Austintown, OH
  • NPI 1104801984
  NPD

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1902005291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 YOUNGSTOWN POLAND RD",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444711106",
            "telephone_number": "330-755-1495",
            "fax_number": "330-755-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 YOUNGSTOWN POLAND RD",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444711106",
            "telephone_number": "330-755-1495",
            "fax_number": "330-755-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATSY BUCCINO D O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-755-1495",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "OH",
            "license": "004593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0776941",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Allen Palmer Jr.
• Michael J Pape, DPT
• Charles Aj Parkham
• Nicolle Marie Pascarella, LSW
• Pathways for Independence LLC
• Jennifer Patton
• Kristen Pawcio
• Angelia Paynter
• People With Heart LLC
• Catherine E Perry

• Allergy Physician in Struthers, OH
• Providers in Struthers, OH by specialty
• Allergy Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.