MAHONING VALLEY WOUND CARE INC. NPI 1467633149

NPI Information

NPI: 1467633149
Provider Name: MAHONING VALLEY WOUND CARE, INC.

Doing Business As: FELIX A. PESA, M.D.

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
540 PARMALEE AVE
SUITE 610
YOUNGSTOWN, OH
ZIP 44510
Phone: (330) 480-2078
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MAHONING VALLEY WOUND CARE, INC. is a vascular surgery surgery in Youngstown, OH. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MAHONING VALLEY WOUND CARE, INC. NPI is 1467633149. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Felix A. Pesa, M.d..

The provider's business location address is:

540 PARMALEE AVE
SUITE 610
YOUNGSTOWN, OH
ZIP 44510-716
Phone: (330) 480-2078

The provider's authorized official is Felix A Pesa .
The authorized official title is Owner and has the following contact phone number (330) 480-2078.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 1/26/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	34025917	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	341107457027	OTHER	OHIO	CARESOURCE
2	P00199613	OTHER	OHIO	MEDICARE/RR
3	000000291311	OTHER	OHIO	ANTHEM
4	0118938	MEDICAID	OHIO
5	4039651	MEDICARE PIN	OHIO
6	9373241	MEDICARE PIN	OHIO

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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