Active NPI 1245219419 Individual Practitioner Male Practitioner

Dr. Michael Joseph Devine , MD

Internal Medicine • Austintown, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Devine, MD is a certified Internal Medicine practicing in Austintown, OH. With approximately 43 years of clinical experience since graduating from Ohio State University College Of Medicine in 1983, Dr. Devine delivers high-quality medical care to the local community at 1450 S CANFIELD NILES RD.

Dr. Devine is affiliated with Cleveland Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1450 S Canfield Niles Rd

Austintown, OH 445154085

Telephone 3307927495

Fax 3307971562

Associated Practice Facility / Clinic

🏢 Ohio Podiatric Physicians And Surgeons Group, Llc Facility NPI 1285030684

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Austintown, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +7.0 yrs vs City Avg

City Avg: 36.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Austintown, OH (5516 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Devine (43 Years) 43 Yrs

Austintown Specialty Average (36.0 Years) 36.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	316	146	$334.00	$118.83
99213 Established patient office or other outpatient visit, typically 15 minutes	252	121	$224.00	$84.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	102	26	$5.00	$1.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	95	44	$224.00	$73.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	78	21	$77.00	$12.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	66	66	$344.00	$121.99
99238 Hospital discharge day management, 30 minutes or less	39	36	$225.51	$74.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	25	$321.00	$112.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$614.00	$164.28
G0008 Administration of influenza virus vaccine	32	32	$82.00	$30.41
90653 Vaccine for influenza for injection into muscle	28	28	$179.00	$81.82
20610 Aspiration and/or injection of fluid from large joint	20	15	$225.00	$61.31
81003 Automated urinalysis test	14	14	$30.00	$2.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	151	$334.00	$120.72
99213 Established patient office or other outpatient visit, typically 15 minutes	203	111	$224.00	$84.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	169	70	$224.00	$76.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	116	27	$5.00	$1.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	72	$614.00	$163.65
99238 Hospital discharge day management, 30 minutes or less	69	66	$223.00	$76.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	16	$77.00	$11.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$344.00	$122.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	20	$321.00	$114.99
20610 Aspiration and/or injection of fluid from large joint	28	21	$225.00	$60.16
G0008 Administration of influenza virus vaccine	26	25	$82.00	$29.36
81003 Automated urinalysis test	25	23	$30.00	$2.20
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	24	23	$183.00	$75.35
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$71.00	$13.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$448.00	$163.07
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	14	$180.00	$49.50
G0444 Annual depression screening, 5 to 15 minutes	14	14	$57.00	$17.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	343	166	$334.00	$122.68
99213 Established patient office or other outpatient visit, typically 15 minutes	227	136	$224.00	$85.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	225	87	$224.00	$67.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	172	34	$5.00	$1.15
G0444 Annual depression screening, 5 to 15 minutes	141	141	$57.00	$17.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	102	102	$344.00	$125.06
85610 Blood test, clotting time	88	12	$30.00	$4.23
99238 Hospital discharge day management, 30 minutes or less	66	64	$223.00	$68.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	55	$614.00	$188.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	15	$77.00	$13.70
20610 Aspiration and/or injection of fluid from large joint	30	23	$225.00	$63.12
93000 Routine ekg using at least 12 leads including interpretation and report	30	28	$71.00	$13.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	19	$321.00	$99.76
81003 Automated urinalysis test	24	19	$30.00	$2.22
G0008 Administration of influenza virus vaccine	22	22	$82.00	$26.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$448.00	$175.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$136.00	$54.33
90662 Influenza vaccine split virus, preservative free	11	11	$183.00	$68.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	333	168	$334.00	$126.20
99213 Established patient office or other outpatient visit, typically 15 minutes	304	165	$224.00	$88.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	196	30	$5.00	$1.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	183	80	$224.00	$70.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	88	84	$614.00	$191.94
G0008 Administration of influenza virus vaccine	71	70	$82.00	$15.96
99238 Hospital discharge day management, 30 minutes or less	57	55	$223.00	$70.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$344.00	$126.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	15	$77.00	$13.64
20610 Aspiration and/or injection of fluid from large joint	47	27	$225.00	$63.11
G0444 Annual depression screening, 5 to 15 minutes	42	42	$57.00	$17.39
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	40	39	$183.00	$66.43
93000 Routine ekg using at least 12 leads including interpretation and report	37	36	$71.00	$14.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	29	$448.00	$177.08
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	31	31	$88.00	$28.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	24	$136.00	$54.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	13	$321.00	$101.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	14	$124.00	$37.67
99496 Transitional care management services for problem of high complexity	14	13	$743.57	$270.05
81003 Automated urinalysis test	13	13	$30.00	$2.25
99220 Hospital observation care, typically 70 minutes	11	11	$480.00	$174.20
99495 Transitional care management services for problem of at least moderate complexity	11	11	$540.55	$184.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	328	151	$333.88	$105.37
99213 Established patient office or other outpatient visit, typically 15 minutes	302	160	$224.03	$71.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	158	32	$5.00	$1.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	128	58	$224.00	$69.00
85610 Blood test, clotting time	91	12	$30.00	$4.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	83	22	$77.00	$13.75
99238 Hospital discharge day management, 30 minutes or less	62	59	$223.00	$69.84
G0008 Administration of influenza virus vaccine	60	60	$82.00	$15.80
93000 Routine ekg using at least 12 leads including interpretation and report	40	39	$71.00	$16.42
20610 Aspiration and/or injection of fluid from large joint	38	28	$225.00	$61.30
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	37	37	$183.00	$61.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$614.00	$198.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$342.75	$112.08
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	23	23	$88.00	$27.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$136.00	$43.48
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	14	$274.00	$82.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	14	$321.00	$103.27
81003 Automated urinalysis test	18	17	$30.00	$2.23
99315 Nursing facility discharge day management, 30 minutes or less	15	15	$196.00	$72.02
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	15	14	$207.00	$67.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$447.29	$142.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$124.00	$39.10
J1030 Injection, methylprednisolone acetate, 40 mg	13	11	$20.00	$6.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	428	182	$224.00	$71.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	331	166	$334.00	$105.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	132	40	$77.00	$16.00
85610 Blood test, clotting time	113	17	$30.00	$4.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	112	28	$5.00	$1.54
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	107	44	$207.00	$65.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	48	$224.00	$71.11
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	88	14	$20.00	$1.79
G0008 Administration of influenza virus vaccine	81	79	$82.00	$15.75
90756 Vaccine for influenza for injection into muscle	67	67	$70.00	$25.74
93000 Routine ekg using at least 12 leads including interpretation and report	52	47	$71.00	$16.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	41	$136.00	$43.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	39	$614.00	$195.45
20610 Aspiration and/or injection of fluid from large joint	38	29	$225.00	$57.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	38	16	$207.00	$67.51
J1030 Injection, methylprednisolone acetate, 40 mg	36	31	$20.00	$6.29
99315 Nursing facility discharge day management, 30 minutes or less	33	30	$196.00	$72.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	25	$448.00	$141.70
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	27	27	$388.00	$128.24
99496 Transitional care management services for problem of high complexity	27	24	$549.00	$224.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	15	$321.00	$102.77
81003 Automated urinalysis test	24	21	$30.00	$2.44
99306 Initial nursing facility visit, typically 45 minutes per day	19	16	$495.00	$164.28
99238 Hospital discharge day management, 30 minutes or less	18	18	$223.00	$69.68
81002 Urinalysis, manual test	15	14	$30.00	$3.41
99239 Hospital discharge day management, more than 30 minutes	15	11	$325.00	$100.65
87804 Detection test by immunoassay with direct visual observation for influenza virus	15	11	$40.00	$16.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$180.00	$47.52
99495 Transitional care management services for problem of at least moderate complexity	12	12	$390.00	$158.62
90653 Vaccine for influenza for injection into muscle	11	11	$95.00	$58.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	434	203	$121.00	$68.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	137	$192.87	$102.48
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	168	54	$126.11	$67.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	139	71	$184.09	$69.46
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	98	34	$121.47	$67.38
85610 Blood test, clotting time	90	16	$15.50	$4.75
36415 Insertion of needle into vein for collection of blood sample	88	76	$19.89	$2.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	73	$89.36	$41.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	84	36	$54.10	$19.15
G0008 Administration of influenza virus vaccine	83	82	$79.94	$18.83
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	77	76	$72.66	$22.96
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	59	14	$20.00	$1.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	54	$500.84	$198.82
81002 Urinalysis, manual test	47	43	$13.83	$3.26
93000 Routine ekg using at least 12 leads including interpretation and report	41	41	$74.02	$15.82
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	40	15	$8.75	$1.79
J1030 Injection, methylprednisolone acetate, 40 mg	38	31	$28.29	$6.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$177.84	$111.79
20610 Aspiration and/or injection of fluid from large joint	33	24	$147.12	$58.74
99238 Hospital discharge day management, 30 minutes or less	29	29	$223.00	$69.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	26	$268.25	$102.14
99239 Hospital discharge day management, more than 30 minutes	26	21	$209.23	$105.00
99220 Hospital observation care, typically 70 minutes	20	20	$410.00	$182.37
99496 Transitional care management services for problem of high complexity	20	17	$424.50	$223.00
82044 Urine microalbumin (protein) analysis	19	16	$35.00	$6.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$353.67	$140.28
69210 Removal of impacted ear wax	15	12	$79.60	$45.43
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	15	12	$238.20	$89.03
99315 Nursing facility discharge day management, 30 minutes or less	15	14	$108.47	$70.93
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$460.57	$165.16
99306 Initial nursing facility visit, typically 45 minutes per day	13	13	$228.46	$162.91
99217 Hospital observation care on day of discharge	12	12	$177.00	$71.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	504	219	$75.00	$69.39
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	405	94	$80.00	$66.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	374	192	$115.00	$102.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	163	84	$150.06	$69.55
85610 Blood test, clotting time	154	20	$15.00	$5.28
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	110	42	$80.00	$66.80
81002 Urinalysis, manual test	83	62	$10.00	$3.13
G0008 Administration of influenza virus vaccine	81	81	$25.00	$23.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	52	$60.00	$41.55
93000 Routine ekg using at least 12 leads including interpretation and report	61	58	$75.00	$15.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	55	13	$10.00	$1.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	49	$356.74	$195.19
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	53	53	$25.00	$11.80
J1030 Injection, methylprednisolone acetate, 40 mg	46	39	$35.00	$5.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	31	$166.89	$101.82
20610 Aspiration and/or injection of fluid from large joint	45	36	$115.00	$58.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	26	$25.00	$23.90
82044 Urine microalbumin (protein) analysis	39	33	$35.00	$6.15
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	38	32	$95.00	$88.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	25	$88.50	$37.29
99306 Initial nursing facility visit, typically 45 minutes per day	32	28	$180.00	$162.09
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	31	31	$25.00	$22.81
99238 Hospital discharge day management, 30 minutes or less	29	29	$175.00	$70.40
99239 Hospital discharge day management, more than 30 minutes	23	23	$119.35	$104.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$120.00	$110.51
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	13	$95.00	$88.42
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	15	13	$70.00	$43.19
69210 Removal of impacted ear wax	14	14	$50.00	$47.08
99220 Hospital observation care, typically 70 minutes	12	12	$353.00	$181.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$165.00	$138.94

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35057955

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License OH 35057955

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0746974 (OH)

Hospital & Practice Group Affiliations

Cleveland Clinic

9500 Euclid Ave, Cleveland, OH 441950001

Phone: 2164445433

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. James Shina , MD

Internal Medicine

NPI 1063439651

Doctor of Medicine (M.D.)

Dr. David Kennedy , MD

Internal Medicine

NPI 1235120288

Doctor of Medicine (M.D.)

Lisa Dean , PTA

Physical Therapy Assistant

NPI 1629557699

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 14, 2016

Registered at 1450 S CANFIELD NILES RD, AUSTINTOWN, OH 445154085 (Tel: 3307927495)

📍

Updated Business Mailing Address December 14, 2016

Registered at 1450 S CANFIELD NILES RD, AUSTINTOWN, OH 445154085 (Tel: 3307927495)

👤

Provider Name / Credentials Updated December 14, 2016

Recorded as MICHAEL DEVINE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2016

Specialist (License #35057955 in OH)

🟢

Initial NPI Registration & Enumeration January 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245219419

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 16, 2006

Last Update: December 14, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1450 S Canfield Niles Rd

Austintown, OH 445154085

Phone: 3307927495

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.