| Suzan L Selim, MD | |
|
7341 Eisenhower Dr, Boardman, OH 44512-5900 | |
| (330) 726-1138 | |
| (330) 726-6128 |
| Full Name | Suzan L Selim |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 47 Years |
| Location | 7341 Eisenhower Dr, Boardman, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447264825 | NPI | - | NPPES |
| 0714098 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35057074 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| Austinwoods Rehab Health Care | Austintown, OH | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Youngstown, Llc | 9234318270 | 110 |
| Entity Name | Hospitalist Medicine Physicians Of Richland County, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639119027 PECOS PAC ID: 4284538430 Enrollment ID: O20031120000557 |
| Entity Name | Mercy Health Physicians Youngstown, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
| Entity Name | Hospitalist Medicine Physicians Of Ohio, Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043572290 PECOS PAC ID: 3779749197 Enrollment ID: O20120730000162 |
| Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
| Mailing Address | Practice Location Address |
|---|---|
| Suzan L Selim, MD 7341 Eisenhower Dr, Boardman, OH 44512-5900 Ph: (330) 726-1138 | Suzan L Selim, MD 7341 Eisenhower Dr, Boardman, OH 44512-5900 Ph: (330) 726-1138 |
Mrs. Jessica Harriman Austin, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-480-2926 | |
Dr. Thomas Nicholas Detesco, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7341 Eisenhower Dr, Boardman, OH 44512 Phone: 330-726-1138 Fax: 330-726-6128 | |
Dr. Thomas E Hunt, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 7206 Market St Ste 100a, Boardman, OH 44512 Phone: 330-726-3379 Fax: 330-726-8683 | |
Dr. Keith Layne Henson, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market Street, C/o Medical Staff Office, Boardman, OH 44512 Phone: 330-533-5699 Fax: 330-702-1144 | |
Amer Aldamouk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-729-1897 | |
Manuel M Bautista, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 Windham Ct, Suite 1, Boardman, OH 44512 Phone: 330-726-3357 Fax: 330-726-1465 | |
Dr. Abhay Sharma, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-729-1591 |