Unknown Individual – Pediatrics Physician, NPI 1043203169
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
707, North Road Southeast, Niles, Trumbull County, Ohio, 44484, United States
WARREN, OH 444844835
Phone: (330) 856-6560
Type: Mailing
Gypsy Lane, Union Square, Youngstown, Mahoning County, Ohio, 44501, United States
SUITE 103
YOUNGSTOWN, OH 445041349
Phone: (330) 884-5776
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44484)
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