Unknown Individual – Emergency Medicine Physician, NPI 1346226842
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2021-02-18. Reason: Felony conviction relating to controlled substance (mandatory; min. 5 years).
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5700, Darrow Road, Hudson, Summit County, Ohio, 44236, United States
STE 106
HUDSON, OH 442365021
Phone: (330) 656-5911
Fax: (330) 656-5901
Type: Mailing
Saint Elizabeth Youngstown Hospital, 1044, Belmont Avenue, Arlington Heights, North Side, Youngstown, Mahoning County, Ohio, 44501, United States
YOUNGSTOWN, OH 445041006
Phone: (330) 746-7211
Fax: (330) 480-3916
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44236)
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