Active NPI
Patsy Buccino, D.O.
- Family Medicine Physician
- Girard, OH
National Provider Identifier
1982673232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34-00-4593-B
- Practice address
- 24 S State St
Girard, OH 44420-2907 - Phone
- (330) 545-3467
- Fax
- (330) 545-5041
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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.
-
- Plastic Surgery Physician
- Youngstown, OH
- NPI 1588925457
Family Medicine, OH
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Girard, OH
- NPI 1598061418
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 LLC
Practice addresses (Care Compare)
5754 Youngstown Poland Rd
Youngstown, OH 44514-1445
Phone (330) 755-3233
Hospital & facility affiliations
- Patriot Homecare, Inc
- Surgical Hospital at Southwoods
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
- MH St Joseph Warren Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071009000633 | OH | Practitioner - Family Practice | 1355436130 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Health Services, LLC | Family Medicine | Current | Accepting new patients |
| The Surgery Center at Southwoods, LLC | Past | Accepting new patients |
Locations
5754 Youngstown Poland Rd
Youngstown, OH 44514
Phone (330) 755-3233
100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828
7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480
Interoperability endpoints
- patsy_buccino@105eb16d.micromddirect.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34-00-4593-B | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
24 S State St
Girard, OH 44420-2907
Mailing address
24 South State Street
Girard, OH 44420-2907
Phone (330) 545-3467
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341712257 | Other | OH | FEDERAL ID |
| 0776941 | Medicaid | OH | |
| 341712257-00 | Other | OH | BWC GROUP ID NUMBER |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2011.
{
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL ID",
"identifier": "341712257",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0776941",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC GROUP ID NUMBER",
"identifier": "341712257-00",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Girard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.
- 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.