Southwoods Physician Services – Plastic Surgery Physician, NPI 1588925457
Plastic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Southwoods Physician Services
4439 Mahoning Ave NW Ste A
Warren, OH 444831975
Phone: (330) 847-6527
Type: Location
730 N Main St
Hubbard, OH 444251126
Phone: (330) 534-1959
Fax: (330) 534-2206
Type: Location
7629 MARKET ST
SUITE 200
YOUNGSTOWN, OH 445126028
Phone:
Type: Mailing
100 DEBARTOLO PL STE 200
YOUNGSTOWN, OH 445126095
Phone:
Type: Mailing
1405 E MARKET ST
Warren, OH 444836609
Phone: (234) 338-9775
Fax: (234) 338-9787
Type: Location
4139 Boardman Canfield Rd Ste 1
Canfield, OH 444069034
Phone: (330) 702-1281
Type: Location
225 E State Route 14 Ste 201
Columbiana, OH 444088490
Phone: (330) 932-2732
Type: Location
9375 E Market St Ste 2B
Warren, OH 444845552
Phone: (330) 758-9787
Type: Location
9375 E Market St Ste 1
Warren, OH 444845552
Phone: (330) 609-5089
Type: Location
800 E Western Reserve Rd
Youngstown, OH 445143359
Phone: (234) 287-6618
Fax: (330) 726-1123
Type: Location
3694 Starrs Centre Dr
Canfield, OH 444069514
Phone: (330) 702-1310
Fax: (330) 702-1344
Type: Location
1450 S Canfield Niles Rd Unit E
Youngstown, OH 445154083
Phone: (234) 287-6660
Type: Location
8700 E Market St Ste 9
Warren, OH 444842340
Phone: (234) 287-6660
Fax: (234) 287-6669
Type: Location
8740 E Market St Ste 2
Warren, OH 444842324
Phone: (330) 457-6700
Fax: (330) 965-5090
Type: Location
16687 Saint Clair Ave Ste 108
East Liverpool, OH 439209401
Phone: (234) 287-6660
Fax: (234) 287-6669
Type: Location
116 E LIBERTY ST
Girard, OH 444202648
Phone: (330) 545-8643
Type: Location
250 Debartolo Pl Ste 2750
Youngstown, OH 445126026
Phone: (330) 758-7703
Type: Location
7620 Southern Blvd Ste 1
Youngstown, OH 445125667
Phone: (330) 629-2144
Type: Location
1335 Belmont ave
Youngstown, OH 445041135
Phone: (330) 747-2700
Fax: (330) 747-2211
Type: Location
2581 NORTH RD NE
Warren, OH 444833052
Phone: (330) 372-5200
Type: Location
1651 E MARKET ST
Warren, OH 444836600
Phone: (330) 394-4900
Type: Location
7600 Southern Blvd Ste 1
Youngstown, OH 445126085
Phone: (330) 758-9787
Type: Location
250 Debartolo Pl Ste 3000
Youngstown, OH 445126088
Phone: (234) 287-6709
Type: Location
7630 Southern Blvd
Youngstown, OH 445125633
Phone: (330) 729-8000
Fax: (330) 729-8084
Type: Location
250 Debartolo Pl Ste 1100
Youngstown, OH 445127004
Phone: (234) 287-6660
Type: Location
1335 Belmont Ave Ste 100
Youngstown, OH 445041135
Phone: (330) 744-7525
Type: Location
250 Debartolo Pl Ste 1200
Youngstown, OH 445127004
Phone: (234) 287-6440
Type: Location
9371 E Market St Ste 2
Warren, OH 444845551
Phone: (234) 287-6303
Type: Location
250 Debartolo Pl Ste 1000
Youngstown, OH 445126090
Phone: (330) 729-8000
Type: Location
250 Debartolo Pl Ste 1640
Youngstown, OH 445126026
Phone: (330) 726-2602
Fax: (330) 726-2653
Type: Location
1450 S Canfield Niles Rd Ste A
Youngstown, OH 445154085
Phone: (330) 792-7495
Type: Location
16687 Saint Clair Ave Ste 101
East Liverpool, OH 439209401
Phone: (330) 385-4610
Fax: (330) 985-4620
Type: Location
1995 E STATE ST
Salem, OH 444602423
Phone: (330) 332-7520
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (889 days ago).
Enrollment records
2
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20120918000787 | O | Clinic/Group Practice | OH | TBD |
| O20171205002717 | O | Clinic/Group Practice | PA | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 44483)
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