Active NPI
Emily Berry, DO
- Surgery Physician
- Youngstown, OH
National Provider Identifier
1902501364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 1902501364
- Practice address
- 1044 Belmont Ave
Youngstown, OH 44504-1006 - Phone
- (330) 480-3124
- NPI assigned
- Apr 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1902501364 | OH | Primary |
Addresses
Primary practice location
1044 Belmont Ave
Youngstown, OH 44504-1006
Mailing address
616 Rutledge St Apt 1
Spartanburg, SC 29302-2019
Phone (724) 622-8332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230712002840 | OH | Order and Referring Only - General Surgery | 0941660708 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1902501364 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1902501364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 RUTLEDGE ST APT 1",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293022019",
"telephone_number": "724-622-8332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041006",
"telephone_number": "330-480-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "EMILY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-04",
"last_updated": "2023-07-10",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "1902501364",
"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 Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.