Active NPI 1447264825 Individual Practitioner Female Practitioner

Dr. Suzan L Selim , MD

Internal Medicine • Boardman, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Suzan Selim, MD is a certified Internal Medicine practicing in Boardman, OH. With approximately 47 years of clinical experience since completing medical education in 1979, Dr. Selim delivers high-quality medical care to the local community at 7341 EISENHOWER DR.

Dr. Selim maintains professional affiliations with Mercy Health Physicians Youngstown, Llc, Mercy Health Physicians Youngstown Specialty Care Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7341 Eisenhower Dr

Boardman, OH 445125900

Telephone 3307261138

Fax 3307266128

Associated Practice Facility / Clinic

🏢 First Medical Associates Inc Facility NPI 1609877687

Medicare Profile & Education

Medical School

Other

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Boardman, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +27.5 yrs vs City Avg

City Avg: 19.5 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

29 Specialists

Practicing in Boardman, OH (5516 Statewide)

Telehealth Adoption Rate

10.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

32.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Selim (47 Years) 47 Yrs

Boardman Specialty Average (19.5 Years) 19.5 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	300	93	$192.90	$120.36
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	142	57	$132.00	$101.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$215.00	$120.22
36415 Insertion of needle into vein for collection of blood sample	59	37	$8.00	$7.84
99306 Initial nursing facility visit, typically 45 minutes per day	56	53	$241.00	$172.75
99213 Established patient office or other outpatient visit, typically 15 minutes	34	25	$134.94	$86.00
G0008 Administration of influenza virus vaccine	29	29	$47.00	$30.40
83036 Hemoglobin A1C level	26	20	$32.00	$9.52
90653 Vaccine for influenza for injection into muscle	24	24	$103.00	$81.82
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	21	19	$191.00	$125.66
93000 Routine ekg using at least 12 leads including interpretation and report	21	18	$35.00	$13.39
81002 Urinalysis, manual test	15	12	$7.00	$3.41
99306 Initial nursing facility visit, typically 45 minutes per day	13	13	$241.00	$172.85
99316 Nursing facility discharge management, more than 30 minutes	12	11	$151.00	$124.34

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	341	111	$191.00	$120.30
99213 Established patient office or other outpatient visit, typically 15 minutes	74	50	$134.00	$85.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$215.00	$122.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	46	28	$132.00	$102.03
93000 Routine ekg using at least 12 leads including interpretation and report	36	27	$35.00	$13.32
83036 Hemoglobin A1C level	35	28	$32.00	$9.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	32	11	$132.00	$102.22
G0008 Administration of influenza virus vaccine	28	28	$47.00	$28.31
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	25	25	$131.00	$72.78
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	23	19	$191.00	$128.06
99306 Initial nursing facility visit, typically 45 minutes per day	19	18	$241.00	$174.98
81002 Urinalysis, manual test	14	12	$7.00	$3.41
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	12	12	$45.00	$15.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$247.00	$160.20

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	385	107	$191.00	$122.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	62	62	$215.00	$121.29
99213 Established patient office or other outpatient visit, typically 15 minutes	44	30	$134.00	$87.67
G0008 Administration of influenza virus vaccine	37	36	$47.00	$27.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	37	12	$132.00	$86.95
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	33	33	$130.97	$68.12
93000 Routine ekg using at least 12 leads including interpretation and report	26	24	$35.00	$13.83
99497 Advance care planning, first 30 minutes	24	23	$168.00	$82.02
83036 Hemoglobin A1C level	24	23	$32.00	$9.59
81002 Urinalysis, manual test	21	16	$7.00	$3.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	13	$718.00	$99.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	649	647	$42.00	$37.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	96	$189.75	$124.88
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	224	224	$42.00	$37.98
99213 Established patient office or other outpatient visit, typically 15 minutes	64	45	$133.22	$89.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$215.00	$112.85
G0008 Administration of influenza virus vaccine	32	32	$47.00	$16.19
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	29	29	$130.00	$66.43
81002 Urinalysis, manual test	19	15	$7.00	$3.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	16	$741.10	$101.25
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$35.00	$12.81
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$276.00	$146.48
99497 Advance care planning, first 30 minutes	14	14	$168.00	$83.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	11	$267.00	$177.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	357	101	$10.00	$2.97
80053 Blood test, comprehensive group of blood chemicals	252	99	$18.00	$10.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	242	101	$126.00	$106.14
84443 Blood test, thyroid stimulating hormone (TSH)	238	99	$28.00	$16.63
84439 Thyroxine (thyroid chemical), free	229	98	$15.00	$8.93
80061 Blood test, lipids (cholesterol and triglycerides)	224	97	$21.00	$13.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	193	78	$379.79	$104.94
83721 Ldl cholesterol level	179	97	$16.00	$10.36
99213 Established patient office or other outpatient visit, typically 15 minutes	177	86	$85.00	$72.32
83036 Hemoglobin A1C level	139	65	$16.00	$9.59
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	137	69	$13.00	$7.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	106	46	$122.21	$72.43
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	79	15	$106.00	$90.64
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	77	44	$13.00	$6.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$137.00	$114.25
82306 Vitamin d-3 level	42	28	$51.00	$29.39
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	42	18	$51.00	$40.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	36	$168.00	$138.23
82570 Creatinine level to test for kidney function or muscle injury	39	30	$9.00	$5.01
82043 Urine microalbumin (protein) level	37	29	$10.00	$5.59
99238 Hospital discharge day management, 30 minutes or less	37	32	$95.00	$72.82
G0442 Annual alcohol misuse screening, 5 to 15 minutes	36	36	$22.00	$17.73
80048 Blood test, basic group of blood chemicals (calcium, total)	35	19	$12.00	$8.41
G0444 Annual depression screening, 5 to 15 minutes	34	34	$22.00	$17.73
G0008 Administration of influenza virus vaccine	29	28	$32.00	$16.06
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	25	12	$50.00	$36.48
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	24	24	$70.00	$58.46
84481 Thyroid hormone, t3 measurement, free	20	13	$27.00	$16.80
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$40.00	$16.62
82607 Cyanocobalamin (vitamin B-12) level	18	16	$25.00	$15.00
81002 Urinalysis, manual test	16	11	$6.00	$3.46
82728 Ferritin (blood protein) level	16	13	$24.00	$13.55
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	14	12	$27.00	$15.87
83540 Iron level	13	11	$11.00	$6.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$887.27	$204.46
99239 Hospital discharge day management, more than 30 minutes	11	11	$763.71	$107.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	424	114	$10.00	$2.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	322	114	$126.00	$104.32
80053 Blood test, comprehensive group of blood chemicals	311	111	$18.00	$11.37
84443 Blood test, thyroid stimulating hormone (TSH)	282	110	$28.00	$18.05
83721 Ldl cholesterol level	274	108	$16.00	$10.24
84439 Thyroxine (thyroid chemical), free	267	109	$15.00	$9.68
80061 Blood test, lipids (cholesterol and triglycerides)	260	108	$21.00	$14.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	231	48	$86.00	$72.13
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	192	44	$51.00	$40.58
99213 Established patient office or other outpatient visit, typically 15 minutes	155	80	$85.00	$71.18
83036 Hemoglobin A1C level	149	60	$16.00	$10.44
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	143	72	$13.00	$6.85
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	117	28	$106.00	$90.14
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	110	57	$13.00	$8.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	90	29	$124.00	$103.13
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	72	28	$100.00	$88.34
84481 Thyroid hormone, t3 measurement, free	64	28	$27.00	$18.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	45	$168.00	$135.87
82306 Vitamin d-3 level	53	34	$51.00	$32.23
82043 Urine microalbumin (protein) level	52	32	$10.00	$6.29
82570 Creatinine level to test for kidney function or muscle injury	51	31	$9.00	$5.63
99238 Hospital discharge day management, 30 minutes or less	39	30	$95.00	$72.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$137.00	$113.02
80048 Blood test, basic group of blood chemicals (calcium, total)	34	26	$12.00	$9.21
71046 X-ray of chest, 2 views	26	24	$37.00	$29.05
93000 Routine ekg using at least 12 leads including interpretation and report	24	22	$40.00	$16.41
82728 Ferritin (blood protein) level	23	19	$24.00	$14.20
82607 Cyanocobalamin (vitamin B-12) level	21	18	$25.00	$15.63
77080 Dxa bone density measurement of hip, pelvis, spine	21	21	$83.67	$37.95
G0008 Administration of influenza virus vaccine	17	17	$32.00	$15.75
83540 Iron level	16	14	$11.00	$6.61
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$215.00	$167.46
81001 Manual urinalysis test with examination using microscope, automated	16	13	$6.00	$3.45
83550 Iron binding capacity	16	14	$15.00	$8.93
99495 Transitional care management services for problem of at least moderate complexity	15	15	$200.00	$159.20
90653 Vaccine for influenza for injection into muscle	14	14	$63.00	$54.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$170.00	$142.13
81002 Urinalysis, manual test	12	11	$6.00	$3.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	483	126	$10.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	124	$126.00	$103.73
80053 Blood test, comprehensive group of blood chemicals	328	122	$18.00	$12.74
84443 Blood test, thyroid stimulating hormone (TSH)	305	118	$28.00	$20.27
83721 Ldl cholesterol level	300	118	$16.00	$11.50
80061 Blood test, lipids (cholesterol and triglycerides)	278	117	$21.00	$16.14
84439 Thyroxine (thyroid chemical), free	248	106	$15.00	$10.87
99213 Established patient office or other outpatient visit, typically 15 minutes	207	106	$85.00	$69.82
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	173	84	$13.00	$7.78
83036 Hemoglobin A1C level	150	66	$16.00	$11.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	130	18	$106.00	$89.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	117	50	$86.00	$70.70
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	105	56	$13.00	$9.40
84481 Thyroid hormone, t3 measurement, free	77	55	$27.00	$20.50
82570 Creatinine level to test for kidney function or muscle injury	73	45	$9.00	$6.26
82043 Urine microalbumin (protein) level	73	45	$10.00	$7.00
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	71	42	$51.00	$40.57
82306 Vitamin d-3 level	56	40	$51.00	$35.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	33	$124.00	$100.26
80048 Blood test, basic group of blood chemicals (calcium, total)	49	27	$12.00	$10.06
99238 Hospital discharge day management, 30 minutes or less	44	32	$95.00	$69.66
G0008 Administration of influenza virus vaccine	37	37	$32.00	$19.30
81001 Manual urinalysis test with examination using microscope, automated	36	23	$6.00	$3.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	31	$168.00	$130.44
71046 X-ray of chest, 2 views	34	28	$37.00	$28.76
93000 Routine ekg using at least 12 leads including interpretation and report	33	31	$40.00	$16.13
82728 Ferritin (blood protein) level	25	18	$24.00	$16.49
G0009 Administration of pneumococcal vaccine	23	23	$32.00	$19.29
82607 Cyanocobalamin (vitamin B-12) level	23	19	$25.00	$18.24
77080 Dxa bone density measurement of hip, pelvis, spine	21	21	$88.00	$39.14
90653 Vaccine for influenza for injection into muscle	20	20	$63.00	$50.90
84436 Thyroxine (thyroid chemical), total	19	13	$11.00	$8.31
76536 Ultrasound of head and neck	16	14	$91.00	$80.29
83540 Iron level	16	14	$11.00	$7.83
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	15	15	$27.00	$19.25
83550 Iron binding capacity	14	12	$15.00	$10.57
99306 Initial nursing facility visit, typically 45 minutes per day	13	13	$197.00	$162.91
90662 Influenza vaccine split virus, preservative free	13	13	$63.00	$52.30
99495 Transitional care management services for problem of at least moderate complexity	13	13	$200.00	$157.33
90670 Pneumococcal vaccine for injection into muscle	12	12	$213.00	$195.92
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$120.00	$105.59
90471 Administration of 1 vaccine	11	11	$32.00	$17.64
72110 X-ray of lower and sacral spine, minimum of 4 views	11	11	$58.00	$45.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	521	132	$10.00	$2.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	439	143	$126.00	$101.32
80053 Blood test, comprehensive group of blood chemicals	310	126	$18.00	$12.10
84443 Blood test, thyroid stimulating hormone (TSH)	284	127	$28.00	$22.37
83721 Ldl cholesterol level	270	123	$16.00	$12.74
80061 Blood test, lipids (cholesterol and triglycerides)	238	118	$21.00	$13.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	219	69	$86.00	$69.08
99213 Established patient office or other outpatient visit, typically 15 minutes	178	103	$85.00	$69.44
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	173	92	$13.00	$8.50
84439 Thyroxine (thyroid chemical), free	155	82	$15.00	$11.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	139	51	$124.00	$99.82
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	130	23	$106.00	$88.60
83036 Hemoglobin A1C level	129	62	$16.00	$12.79
82570 Creatinine level to test for kidney function or muscle injury	128	84	$9.00	$6.86
82043 Urine microalbumin (protein) level	128	84	$10.00	$7.66
84436 Thyroxine (thyroid chemical), total	87	57	$11.00	$9.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	62	48	$13.00	$10.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	55	$243.00	$191.54
99238 Hospital discharge day management, 30 minutes or less	61	44	$95.00	$67.41
82306 Vitamin d-3 level	58	43	$51.00	$39.16
80048 Blood test, basic group of blood chemicals (calcium, total)	53	27	$12.00	$9.80
G0008 Administration of influenza virus vaccine	53	53	$32.00	$23.76
90662 Influenza vaccine split virus, preservative free	42	42	$52.00	$48.05
93000 Routine ekg using at least 12 leads including interpretation and report	40	39	$40.00	$16.09
71020 X-ray of chest, 2 views, front and side	38	33	$33.00	$26.35
82607 Cyanocobalamin (vitamin B-12) level	28	25	$25.00	$19.60
81001 Manual urinalysis test with examination using microscope, automated	27	17	$6.00	$3.79
77080 Dxa bone density measurement of hip, pelvis, spine	25	25	$88.00	$38.08
G0009 Administration of pneumococcal vaccine	22	22	$32.00	$23.76
82728 Ferritin (blood protein) level	21	19	$24.00	$17.52
83540 Iron level	19	19	$11.00	$7.83
83550 Iron binding capacity	18	18	$15.00	$10.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$137.00	$110.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$170.00	$139.36
81002 Urinalysis, manual test	15	12	$6.00	$3.17
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$99.55	$90.19
99495 Transitional care management services for problem of at least moderate complexity	11	11	$200.00	$143.04
90670 Pneumococcal vaccine for injection into muscle	11	11	$213.00	$186.73
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	11	11	$27.00	$21.38
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$214.18	$163.71

Medical Specialties & State Licenses

CMS Verified: 2020-12-21

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35057074

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0714098 (OH)

Hospital & Practice Group Affiliations

Mercy Health Physicians Youngstown, Llc

7341 Eisenhower Dr, Boardman, OH 445125900

Phone: 3307261138

Mercy Health Physicians Youngstown Specialty Care Llc

410 W 10th Ave, Columbus, OH 432101240

Phone: 6142938000

Mercy Health Physicians Youngstown Specialty Care Llc

9471 Market St, North Lima, OH 444528702

Secondary Practice Locations

901 Trailwood Dr

Youngstown, OH 445125008

Phone: 3307263000

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Thomas Detesco , MD

Internal Medicine

NPI 1013911403

Doctor of Medicine (M.D.)

Benjamin Brocker

Family Medicine

NPI 1164927307

Angela Klimko

Nurse Practitioner - Family

NPI 1396564985

Dr. Ashley Reimer , MD

Family Medicine

NPI 1427286368

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 21, 2020

Registered at 7341 EISENHOWER DR, BOARDMAN, OH 445125900 (Tel: 3307261138)

📍

Updated Business Mailing Address December 21, 2020

Registered at 7341 EISENHOWER DR, BOARDMAN, OH 445125900 (Tel: 3307261138)

✅

NPI Profile Active November 10, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 10, 2009

Registered at 901 TRAILWOOD DR, YOUNGSTOWN, OH 445125008 (Tel: 3307263000)

📍

Updated Business Mailing Address November 10, 2009

Registered at 901 TRAILWOOD DR, YOUNGSTOWN, OH 445125008 (Tel: 3307263000)

👤

Provider Name / Credentials Updated November 10, 2009

Recorded as SUZAN SELIM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2009

Internal Medicine (License #35057074 in OH)

🟢

Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447264825

Entity Type:

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

Enumeration Date: July 28, 2006

Last Update: December 21, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7341 Eisenhower Dr

Boardman, OH 445125900

Phone: 3307261138

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

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