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Deactivated NPI 1104318377 Deactivated / Inactive NPI Male Practitioner

Eugene Wilson

Case Manager/Care Coordinator • Youngstown, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eugene Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 04, 2018
NPI Deactivation Date October 16, 2025
Total Practice Duration ~7 Years of Practice (2018 – 2025)

Professional Overview & Biography Verified Profile Summary

Eugene Wilson was a registered Case Manager/Care Coordinator practicing in Youngstown, OH. Throughout an active medical career spanning 7 years, Eugene Wilson provided care at the practice location at 550 W CHALMERS AVE until profile deactivation on 2025-10-16.

Practice Location & Contact Primary Location

Practice Address

550 W Chalmers Ave

Youngstown, OH 445111576

Telephone 3307467829
Associated Practice Facility / Clinic
🏢 Meridian Healthcare Facility NPI 1841164365

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Youngstown, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
314 Specialists

Practicing in Youngstown, OH (35490 Statewide)

Telehealth Adoption Rate
0.0% 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

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

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

11 Associated Practitioners
Christian Clark

Community/Behavioral Health

NPI 1003307448
Dana Williams

Case Manager/Care Coordinator

NPI 1134611395
David Magura

Case Manager/Care Coordinator

NPI 1144712886
Jacob Thomas

Case Manager/Care Coordinator

NPI 1255823431
Bobbi Eiland

Community/Behavioral Health

NPI 1295226686
Andrew Jackson

Case Manager/Care Coordinator

NPI 1528559358

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 16, 2025

Record deactivated on October 16, 2025

NPI Profile Active June 04, 2018

NPI status registered as active in NPPES database

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Updated Practice Location June 04, 2018

Registered at 550 W CHALMERS AVE, YOUNGSTOWN, OH 445111576 (Tel: 3307467829)

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Updated Business Mailing Address June 04, 2018

Registered at 527 N MERIDIAN RD, YOUNGSTOWN, OH 445091227

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Provider Name / Credentials Updated June 04, 2018

Recorded as EUGENE WILSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2018

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration June 04, 2018

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: 1104318377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2018
Last Update: June 04, 2018
Deactivation Date: October 16, 2025

Mailing Address

527 N Meridian Rd

Youngstown, OH 445091227

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.