Organization Active NPI

Verodana, Inc

  • Family Medicine Physician
  • Warren, OH
National Provider Identifier
1922320175
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VERODANA, INC
Practice address
4681 Mahoning Ave NW
Warren, OH 44483-1418
Phone
(330) 847-7778
Fax
(330) 847-8166
NPI assigned
Feb 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Authorized official

Name
Frank G. Veres, DONPI 1154351757
Title
President
Phone
(330) 847-7778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4681 Mahoning Ave NW
Warren, OH 44483-1418

Mailing address

4681 Mahoning Ave NW
Warren, OH 44483-1418
Phone (330) 847-7778

Other names 1

  • Frank G. Veres, DO and Zachary F. Veres, DO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100803000090 OH Part B Supplier - Clinic/Group Practice 5092848739 Receives reassigned benefits from 7 practitioners
Practice locations: Warren, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0341630Verodana, Inc4681 Mahoning Avenue NW, Warren, OH 44483Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory

Locations

4687 Mahoning Ave NW
Warren, OH 44483
Phone (330) 847-1132

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1922320175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4681 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831418",
            "telephone_number": "330-847-7778",
            "fax_number": "330-847-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4681 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831418",
            "telephone_number": "330-847-7778",
            "fax_number": "330-847-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERODANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "VERES",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-847-7778",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frank G. Veres, DO and Zachary F. Veres, DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.