| Anchor Recovery Services | |
|
196 Colonial Dr Youngstown OH 44505-2139 | |
| (440) 539-5540 | |
| (877) 720-2539 |
| Full Name | Anchor Recovery Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 196 Colonial Dr, Youngstown, Ohio |
| Authorized Official Name and Position | Ryan S Nagy (OWNER) |
| Authorized Official Contact | 4405395540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchor Recovery Services 7031 Barrington Dr Canfield OH 44406-7634 Ph: (440) 539-5540 | Anchor Recovery Services 196 Colonial Dr Youngstown OH 44505-2139 Ph: (440) 539-5540 |
| NPI Number | 1821551649 |
|---|---|
| Provider Enumeration Date | 04/09/2019 |
| Last Update Date | 11/01/2021 |
| Certification Date | 11/01/2021 |
| Medicare PECOS PAC ID | 6406180082 |
|---|---|
| Medicare Enrollment ID | O20190702001195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821551649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mark J Zedar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801908009 PECOS PAC ID: 5597663005 Enrollment ID: I20031222000550 |
| Provider Name | Ryan Scott Nagy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366603516 PECOS PAC ID: 5698961068 Enrollment ID: I20120821000286 |
| Provider Name | Marian Mattern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366799082 PECOS PAC ID: 9436387420 Enrollment ID: I20140121001556 |
| Provider Name | Jason Rock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346281367 PECOS PAC ID: 5294822524 Enrollment ID: I20150710000766 |
| Provider Name | Tracy L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568913614 PECOS PAC ID: 5395027684 Enrollment ID: I20170120002577 |
| Provider Name | Jennifer Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174994693 PECOS PAC ID: 2860702735 Enrollment ID: I20171003007163 |
| Provider Name | Harriet Cortez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477715423 PECOS PAC ID: 4981953742 Enrollment ID: I20180828001533 |
| Provider Name | Shiloh Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720560634 PECOS PAC ID: 0345592341 Enrollment ID: I20181002001973 |
| Provider Name | Elizabeth A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720620198 PECOS PAC ID: 4981038825 Enrollment ID: I20191230002317 |
| Provider Name | Kevin Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649821398 PECOS PAC ID: 3476988684 Enrollment ID: I20200116001387 |
| Provider Name | Joseph D Flask |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881230811 PECOS PAC ID: 8123454865 Enrollment ID: I20200128003245 |
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