Mr Yazan K Jadallah, MD | |
1044 Belmont Avenue, Youngstown, OH 44501 | |
(330) 746-7211 | |
(330) 480-3916 |
Full Name | Mr Yazan K Jadallah |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1044 Belmont Avenue, Youngstown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043295082 | NPI | - | NPPES |
101307865-0003 | Other | OH | PENNSYLVANIA MEDICAID |
101307865-0002 | Other | OH | PENNSYLVANIA MEDICAID |
2258435 | Medicaid | OH | |
P00375999 | Other | OH | RAILROAD MEDICARE |
101307865-0001 | Other | OH | PENNSYLVANIA MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35 079101J (Ohio) | Primary |
Entity Name | Mahoning Valley Emergency Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003869652 PECOS PAC ID: 5698758993 Enrollment ID: O20040609000114 |
Entity Name | Mves Austintown Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972555944 PECOS PAC ID: 1355308875 Enrollment ID: O20041216000550 |
Entity Name | Mves Boardman Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205888237 PECOS PAC ID: 4688694722 Enrollment ID: O20051202000794 |
Mailing Address | Practice Location Address |
---|---|
Mr Yazan K Jadallah, MD 5700 Darrow Road, Suite 106, Hudson, OH 44236-5021 Ph: (330) 656-5911 | Mr Yazan K Jadallah, MD 1044 Belmont Avenue, Youngstown, OH 44501 Ph: (330) 746-7211 |
Dr. Jeanine Awad-spirtos, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Youngstown, OH 44512 Phone: 330-729-2929 | |
David Jackson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211 Fax: 330-656-5901 | |
Dr. Laura Leigh Miller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1053 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3605 Fax: 330-480-2948 | |
Victor Mckee, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Youngstown, OH 44512 Phone: 330-729-2929 Fax: 330-656-5901 | |
Dr. Shilp Shah, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-814-0862 | |
Mr. Howard I Dickey-white, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211 Fax: 330-656-5901 |