Dr Nicholas Chapman Boniface, MD, MPH | |
7600 Southern Blvd Ste 2, Youngstown, OH 44512-6085 | |
(330) 758-8183 | |
Not Available |
Full Name | Dr Nicholas Chapman Boniface |
---|---|
Gender | Male |
Speciality | Surgery - Trauma Surgery |
Location | 7600 Southern Blvd Ste 2, Youngstown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992233761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0127X | Surgery - Trauma Surgery | MD482959 (Pennsylvania) | Primary |
208600000X | Surgery | 35.136025 (Ohio) | Secondary |
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 | 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 7087 West Blvd Ste No3, Youngstown, OH 44512-7333 Ph: (330) 758-8183 | Dr Nicholas Chapman Boniface, MD, MPH 7600 Southern Blvd Ste 2, Youngstown, OH 44512-6085 Ph: (330) 758-8183 |
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: Medicare Enrolled Practice Location: 1001 Covington St, Youngstown, OH 44510 Phone: 330-480-2371 Fax: 330-480-3970 | |
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 | |
Dr. Heath A Dorion, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Covington St, Youngstown, OH 44510 Phone: 330-480-2371 Fax: 330-480-3970 | |
Michael Kavic, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211 | |
Carl Michael Dunham, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211 | |
Frances Nicole Mccarron, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-6547 Fax: 330-480-5994 |