NPIMap

Individual provider Active NPI

Patsy Buccino, D.O.

  • Family Medicine Physician
  • Girard, OH
National Provider Identifier
1982673232
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-00-4593-B Issued in OH
Practice address
24 S State St
Girard, OH 44420-2907
Phone
(330) 545-3467
Fax
(330) 545-5041
NPI assigned
Mar 17, 2006
Last updated
Aug 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-00-4593-B OH Primary

Addresses

Primary practice location

24 S State St
Girard, OH 44420-2907

Mailing address

24 South State Street
Girard, OH 44420-2907
Phone (330) 545-3467

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
I20071009000633 OH Practitioner - Family Practice 1355436130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

5754 Youngstown Poland Rd
Youngstown, OH 44514-1445
Phone (330) 755-3233

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
The Surgery Center at Southwoods, LLC PastSince Feb 1, 2024 Accepting new patients

Locations

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

5754 Youngstown Poland Rd
Youngstown, OH 44514
Phone (330) 755-3233

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

Interoperability endpoints

  • Direct secure messaging: patsy_buccino@105eb16d.micromddirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1982673232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SOUTH STATE STREET",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202907",
            "telephone_number": "330-545-3467",
            "fax_number": "330-545-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S STATE ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202907",
            "telephone_number": "330-545-3467",
            "fax_number": "330-545-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCINO",
        "first_name": "PATSY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-4593-B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, OH

Sources for this page

Verify at the official NPI Registry.