Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730131723 Individual Practitioner Female Practitioner

Dr. Vida S Kaniecki , MD

Pediatrics • Youngstown, OH

Professional Overview & Biography Verified Profile Summary

Dr. Vida Kaniecki, MD is a registered healthcare professional specializing in Pediatrics in Youngstown, OH. Practice services are available at 6505 MARKET ST BLDG A1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6505 Market St Bldg A1

Youngstown, OH 445123457

Telephone 3307468040
Fax 3307468025

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Youngstown, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Youngstown, OH (3057 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

CMS Verified: 2020-11-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35.134780

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0012772440001 (PA)
Commercial Insurance / Payer ID Medicare Ptan
198726H87 (PA)
Commercial Insurance / Payer ID Npi
1730131723

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1063904514

PPCNPBC

NPI 1144230459

Doctor of Osteopathic Medicine (D.O.)

NPI 1144286188

Doctor of Osteopathic Medicine (D.O.)

NPI 1205149432

Doctor of Medicine (M.D.)

NPI 1467437434

RNMSNCPNP

Rachelle Halula , CPNP

Nurse Practitioner - Pediatrics

NPI 1508343005

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 17, 2019

Registered at 6505 MARKET ST BLDG A1, YOUNGSTOWN, OH 445123457 (Tel: 3307468040)

📍
Updated Business Mailing Address January 17, 2019

Registered at 6505 MARKET ST BLDG A1, BOARDMAN, OH 445123457 (Tel: 3307468040)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2019

Pediatrics (License #35.134780 in OH)

NPI Profile Active December 29, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 29, 2015

Registered at 701 BROAD ST, SUITE 422, SEWICKLEY, PA 151431652 (Tel: 4127418700)

📍
Updated Business Mailing Address December 29, 2015

Registered at 701 BROAD ST, SUITE 422, SEWICKLEY, PA 151431696 (Tel: 4127418700)

👤
Provider Name / Credentials Updated December 29, 2015

Recorded as VIDA KANIECKI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2015

Pediatrics (License #MD046355L in PA)

🟢
Initial NPI Registration & Enumeration May 17, 2006

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: 1730131723
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2006
Last Update: November 23, 2020
Sole Proprietor: No

Mailing Address

6505 Market St Bldg A1

Boardman, OH 445123457

Phone: 3307468040

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.