Unknown Individual – Pediatrics Physician, NPI 1194794727
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Northside Medical Center, 500, Gypsy Lane, Union Square, Youngstown, Mahoning County, Ohio, 44501, United States
YOUNGSTOWN, OH 445041315
Phone: (330) 884-3957
Fax: (330) 884-5684
Type: Location
7008, Tryaltan Lane, Canfield Township, Mahoning County, Ohio, 44406, United States
CANFIELD, OH 444069422
Phone: (330) 533-2836
Type: Mailing
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
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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 44504)
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