Individual provider Active NPI

Elizabeth Deann Ghindia

  • Family Nurse Practitioner
  • Warren, OH
National Provider Identifier
1992433379
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0032121 Issued in OH
Practice address
5164 Craig Ave NW
Warren, OH 44483-1236
Phone
(330) 647-5971
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0032121 OH Primary

Addresses

Primary practice location

5164 Craig Ave NW
Warren, OH 44483-1236

Mailing address

5164 Craig Ave NW
Warren, OH 44483-1236
Phone (330) 647-5971

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240919000849 OH Practitioner - Nurse Practitioner 4284175118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Cyril Pain Clinic IncGroup PAC ID 0648327551, 8 clinicians

Practice addresses (Care Compare)

1621 E Market St
Suite a
Warren, OH 44483-6617
Phone (330) 856-2881

Hospital & facility affiliations

  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0032121OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Cyril Pain Clinic CurrentSince Aug 1, 2024 Accepting new patients
St Cyril Pain Clinic Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

1621 E Market St
Ste A
Warren, OH 44483
Phone (330) 726-3800

1011 Boardman Canfield Rd
Youngstown, OH 44512
Phone 3306292888109

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.

Hospital & facility affiliations 5

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1992433379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5164 CRAIG AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831236",
            "telephone_number": "330-647-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5164 CRAIG AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831236",
            "telephone_number": "330-647-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHINDIA",
        "first_name": "ELIZABETH",
        "middle_name": "DEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.