NPIMap

Individual provider Active NPI

Ronald Dwinnells, MD

  • Family Medicine Physician
  • Youngstown, OH
National Provider Identifier
1902893142
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35054175D Issued in OH
Practice address
726 Wick Ave
Youngstown, OH 44505-2827
Phone
(330) 747-9551
NPI assigned
Oct 3, 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.

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140219000396 OH Practitioner - Pediatric Medicine 4486648235 Reassigns benefits to 1 organization

All facility ownership & control disclosures 8

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Warren West Community Health CenterWarren, OH, CCN 361881 Federally qualified health center Corporate Officer
Corporate Director		 Apr 21, 1998
Jan 10, 2010
Youngstown Community Health CenterYoungstown, OH, CCN 361848 Federally qualified health center Corporate Officer Jan 10, 2010
Lloyd McCoy Community Health C EnterWarren, OH, CCN 361970 Federally qualified health center Corporate Officer May 21, 2010
Good Samaritan Community Health CenterAlliance, OH, CCN 361888 Federally qualified health center Corporate Officer Jul 19, 1994
East Market PediatricsWarren, OH, CCN 361000 Federally qualified health center Corporate Officer Jul 1, 1994
Falls Family CareNewton Falls, OH, CCN 361098 Federally qualified health center Corporate Officer Jul 18, 1994
Rise RecoveryYoungstown, OH, CCN 361135 Federally qualified health center Corporate Officer Jul 19, 1994
Ohio North East Health Systems IncCortland, OH, CCN 361196 Federally qualified health center Corporate Officer
Operational/Managerial Control		 Jul 18, 1994
Jul 18, 1994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35054175DOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio North East Health Systems, Inc. Family Medicine CurrentSince Jan 16, 2014 Accepting new patients
Ohio North East Health Systems Inc CurrentSince Jul 19, 1994 Accepting new patients

Locations

726 Wick Ave
Youngstown, OH 44505
Phone (330) 747-2330

Interoperability endpoints

  • Direct secure messaging: dwinnells.ronald@onehealth.medicity.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35054175D OH Primary

Addresses

NPPES NPI Registry

Primary practice location

726 Wick Ave
Youngstown, OH 44505-2827

Mailing address

1349 Meadowood Cir
Poland, OH 44514-3292

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0656692MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2011.

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1902893142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 MEADOWOOD CIR",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 WICK AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052827",
            "telephone_number": "330-747-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWINNELLS",
        "first_name": "RONALD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35054175D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0656692",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.