Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720654437 Individual Practitioner Female Practitioner

Mioma D Gore

Counselor - Professional • Boardman, OH

Professional Overview & Biography Verified Profile Summary

Mioma Gore is a registered healthcare professional specializing in Counselor - Professional in Boardman, OH. Practice services are available at 6505 MARKET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6505 Market St

Boardman, OH 445123457

Telephone 3307469374
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Boardman, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
29 Specialists

Practicing in Boardman, OH (6923 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-22
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH C.2305123

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
John Zajac , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083660138

Certified Registered Nurse Anesthetist

NPI 1093996258

Doctor of Medicine (M.D.)

Edvin Lind , CRNA

Nurse Anesthetist, Certified Registered

NPI 1104878172

Certified Registered Nurse Anesthetist

Regina O'leary , CRNP

Nurse Practitioner - Neonatal

NPI 1114064128

Certified Registered Nurse Practitioner

NPI 1124647516

Doctor of Osteopathic Medicine (D.O.)

Dr. Logan Ison , PT, DPT

Physical Therapist - Sports

NPI 1124957246

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 22, 2025

Registered at 6505 MARKET ST, BOARDMAN, OH 445123457 (Tel: 3307469374)

📍
Updated Business Mailing Address October 22, 2025

Registered at 6505 MARKET ST, BOARDMAN, OH 445123457 (Tel: 3307469374)

👤
Provider Name / Credentials Updated October 22, 2025

Recorded as MIOMA GORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2025

Counselor (License #C.2305123 in OH)

NPI Profile Active June 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2021

Registered at 520 YOUNGSTOWN POLAND RD, STRUTHERS, OH 444711103 (Tel: 3303183078)

📍
Updated Business Mailing Address June 02, 2021

Registered at 3040 BELMONT AVE STE C, YOUNGSTOWN, OH 445051836 (Tel: 3307590276)

👤
Provider Name / Credentials Updated June 02, 2021

Recorded as MIOMA JONES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2021

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration June 02, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720654437
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2021
Last Update: October 22, 2025
Sole Proprietor: Yes

Mailing Address

6505 Market St

Boardman, OH 445123457

Phone: 3307469374

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.