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TRUMBULL MAHONING MEDICAL GROUP INC. NPI 1538353883


NPI Information

NPI: 1538353883
Provider Name: TRUMBULL MAHONING MEDICAL GROUP, INC.

Other Name: TMMG

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 36D0342454

Address:
20 OHLTOWN RD
YOUNGSTOWN, OH
ZIP 44515
Phone: (330) 797-9705
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TRUMBULL MAHONING MEDICAL GROUP, INC. is an internal medicine in Youngstown, OH. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. TRUMBULL MAHONING MEDICAL GROUP, INC. NPI is 1538353883. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Tmmg.

The provider's business location address is:

20 OHLTOWN RD
YOUNGSTOWN, OH
ZIP 44515-331
Phone: (330) 797-9705
Fax: (330) 270-5997

The provider's authorized official is Mourad Rostom .
The authorized official title is Partner/executive and has the following contact phone number (330) 372-8800.

The CLIA number assigned to this NPI record is 36D0342454 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 1/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000243183OTHEROHIOANTHEM BC/BS OHIO
20468677MEDICAIDOHIO
3=========-03OTHEROHIOOHIO WORKERS COMP
4CK8621MEDICARE PINOHIO
5=========025OTHEROHIOMEDICAL MUTUAL OF OHIO
6=========003OTHEROHIOTRICARE
71426141OTHEROHIOHIGHMARK BC/BS PA
89330561MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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