| Northeastern Ohio Infectious Disease Association Inc | |
|
540 Parmalee Ave Ste. 610 Youngstown OH 44510-1605 | |
| (330) 744-4369 | |
| (330) 744-1728 |
| Full Name | Northeastern Ohio Infectious Disease Association Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 540 Parmalee Ave, Youngstown, Ohio |
| Authorized Official Name and Position | Anthony F. Cutrona (CEO) |
| Authorized Official Contact | 3307444369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Ohio Infectious Disease Association Inc Po Box 2163 Youngstown OH 44504-0163 Ph: (330) 744-4369 | Northeastern Ohio Infectious Disease Association Inc 540 Parmalee Ave Ste. 610 Youngstown OH 44510-1605 Ph: (330) 744-4369 |
| NPI Number | 1497769707 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 12/17/2014 |
| Medicare PECOS PAC ID | 5799781829 |
|---|---|
| Medicare Enrollment ID | O20061013000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497769707 | NPI | - | NPPES |
| 0981817 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Munir Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437240611 PECOS PAC ID: 3971588047 Enrollment ID: I20040624001257 |
| Provider Name | Indra P Limbu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013946821 PECOS PAC ID: 3476559469 Enrollment ID: I20061016000062 |
| Provider Name | Keith L Henson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023009412 PECOS PAC ID: 9032276266 Enrollment ID: I20090316000252 |
| Provider Name | Huong T Nguyen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891777934 PECOS PAC ID: 7416149422 Enrollment ID: I20101008000817 |
| Provider Name | Anthony F Cutrona |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225010226 PECOS PAC ID: 1052317187 Enrollment ID: I20101012000659 |
| Provider Name | Javier E Calderon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538141718 PECOS PAC ID: 4688866361 Enrollment ID: I20101013000676 |
| Provider Name | Frank A Kaydo |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1265702450 PECOS PAC ID: 3375707557 Enrollment ID: I20120620000199 |
| Provider Name | Lisa J Cascarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588005946 PECOS PAC ID: 3173425048 Enrollment ID: I20140203000783 |
| Provider Name | Andrea L Dixon-theisler |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1225334857 PECOS PAC ID: 7810127149 Enrollment ID: I20140305001481 |
| Provider Name | Stephanie Barbato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821496654 PECOS PAC ID: 3072837863 Enrollment ID: I20150127001939 |
| Provider Name | Jisha John |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457680183 PECOS PAC ID: 9335456821 Enrollment ID: I20150916000754 |
| Provider Name | Talishia M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356711139 PECOS PAC ID: 8325357544 Enrollment ID: I20151028002426 |
| Provider Name | Elias Shattahi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245495605 PECOS PAC ID: 2264566363 Enrollment ID: I20160211002541 |
| Provider Name | Meenal Malviya |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457608200 PECOS PAC ID: 5092082024 Enrollment ID: I20170523002590 |
| Provider Name | Melanie M Bucciarelli |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1194248286 PECOS PAC ID: 2860765468 Enrollment ID: I20170901001833 |
| Provider Name | Virginia D Banks |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659348563 PECOS PAC ID: 1557269024 Enrollment ID: I20180730001610 |
| Provider Name | Nicole Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801378302 PECOS PAC ID: 3274885421 Enrollment ID: I20181016002958 |
| Provider Name | Eunice Ann H Wong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386928489 PECOS PAC ID: 4082915228 Enrollment ID: I20190826003711 |
| Provider Name | Charmi Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003466988 PECOS PAC ID: 3173854825 Enrollment ID: I20191009003343 |
| Provider Name | Jessica Lynn Vesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366049439 PECOS PAC ID: 7012327075 Enrollment ID: I20201102001996 |
| Provider Name | Shirisha Pasula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396191987 PECOS PAC ID: 7810277282 Enrollment ID: I20211220000001 |
| Provider Name | Arindam Ghatak |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699047621 PECOS PAC ID: 3971896713 Enrollment ID: I20220218002420 |
| Provider Name | Alyssa R Braund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295497980 PECOS PAC ID: 0840677233 Enrollment ID: I20220525000788 |
Youngstown Ohio Physician Services Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Gypsy Ln, Youngstown, OH 44504 Phone: 330-884-0120 Fax: 330-884-0175 | |
St. Elizabeth Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1053 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3605 | |
Primary Healthcare Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Belmont Ave, Youngstown, OH 44505 Phone: 330-744-0221 Fax: 330-744-4716 | |
Thomas A Bailey Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 N Canfield Niles Rd, Suite 160, Youngstown, OH 44515 Phone: 330-792-2976 Fax: 330-792-8707 | |
Youngstown Ohio Hospital Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Gypsy Lane, Youngstown, OH 44504 Phone: 330-884-4571 | |
Humility Of Mary Health Partners Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211 | |
Nicholas P Depizzo Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4991 Belmont Ave, Youngstown, OH 44505 Phone: 330-759-0435 |