| Dr Nicholas Chapman Boniface, MD, MPH | |
|
7600 Southern Blvd Ste 2, Youngstown, OH 44512-6085 | |
| (234) 367-8181 | |
| (614) 591-3981 |
| Full Name | Dr Nicholas Chapman Boniface |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 8 Years |
| Location | 7600 Southern Blvd Ste 2, Youngstown, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992233761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0127X | Surgery - Trauma Surgery | MD482959 (Pennsylvania) | Secondary |
| 208600000X | Surgery | 35.136025 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| Salem Regional Medical Center | Salem, OH | Hospital |
| Surgical Hospital At Southwoods | Youngstown, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| River Valley Physicians Llc | 3971506932 | 42 |
| Entity Name | North East Ohio Group Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063575462 PECOS PAC ID: 8426960618 Enrollment ID: O20031105000352 |
| Entity Name | The Metrohealth System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
| Entity Name | River Valley Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891756870 PECOS PAC ID: 3971506932 Enrollment ID: O20060810000601 |
| Entity Name | Boniface Surgical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164106399 PECOS PAC ID: 2668820762 Enrollment ID: O20231130000868 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicholas Chapman Boniface, MD, MPH 7600 Southern Blvd Ste 2, Youngstown, OH 44512-6085 Ph: (330) 758-8183 | Dr Nicholas Chapman Boniface, MD, MPH 7600 Southern Blvd Ste 2, Youngstown, OH 44512-6085 Ph: (234) 367-8181 |
Dr. Breanne Gillie, MD Surgery Medicare: Medicare Enrolled Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211 | |
Michael R Sippel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Covington St, Youngstown, OH 44510 Phone: 330-480-2371 Fax: 330-480-3970 | |
Allison Mancuso, Surgery Medicare: Medicare Enrolled Practice Location: 1044 Belmont Ave Dept Of, Youngstown, OH 44504 Phone: 330-480-3752 | |
Tyler Robert Tominello, Surgery Medicare: Medicare Enrolled Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3124 | |
Dr. James Robert Vienneau, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3124 | |
Dr. Louis Sozon Lyras, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7645 Market St Ste 200, Youngstown, OH 44512 Phone: 330-726-0156 Fax: 330-707-0618 | |
Mason Benchoff, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 717-387-0852 |