| Tracy L Neuendorf, DO | |
|
1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 | |
| (330) 629-2888 | |
| (330) 629-8940 |
| Full Name | Tracy L Neuendorf |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 1011 Boardman Canfield Rd, 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 |
|---|---|---|---|
| 1275509275 | NPI | - | NPPES |
| 000403561 | Other | OH | HIGHMARK BC/BS |
| 0010273680005 | Medicaid | PA | |
| 127674 | Other | OH | ANTHEM |
| 0601834 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LA0401X | Anesthesiology - Addiction Medicine | 34.003509 (Ohio) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 34-00-3509-N (Ohio) | Primary |
| Entity Name | Family Recovery Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821053042 PECOS PAC ID: 0446273304 Enrollment ID: O20060106000437 |
| Entity Name | Doctors Pain Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386698215 PECOS PAC ID: 8426036450 Enrollment ID: O20180914001443 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy L Neuendorf, DO 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 Ph: (330) 629-2888 | Tracy L Neuendorf, DO 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 Ph: (330) 629-2888 |
Dr. Charles Daniel Cammock, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
James A Bachmeier, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3622 Belmont Ave, Suite 1, Youngstown, OH 44505 Phone: 330-759-9350 Fax: 330-759-9387 | |
Bijo Jos Thomas, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
Frederick A. Peachman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
Dr. Heather C Eck, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Youngstown, OH 44512 Phone: 330-729-2929 Fax: 330-286-5396 | |
Dr. Raymond George Malackany, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3622 Belmont Ave, Suite1, Youngstown, OH 44505 Phone: 330-759-9350 Fax: 330-759-9387 | |
Dr. Anthony James Candella Jr., DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7630 Southern Blvd, Youngstown, OH 44512 Phone: 330-729-8000 Fax: 330-729-8084 |