| Community Medical Associates, Ltd. | |
|
1450 S Canfield Niles Rd Youngstown OH 44515 | |
| (330) 799-8752 | |
| (330) 799-8754 |
| Full Name | Community Medical Associates, Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 1450 S Canfield Niles Rd, Youngstown, Ohio |
| Authorized Official Name and Position | Daniel A. Miller (OWNER/PRACTICE MANAGER) |
| Authorized Official Contact | 3307998752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Associates, Ltd. 1450 S Canfield Niles Rd Youngstown OH 44515 Ph: (330) 799-8752 | Community Medical Associates, Ltd. 1450 S Canfield Niles Rd Youngstown OH 44515 Ph: (330) 799-8752 |
| NPI Number | 1184761405 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 04/28/2023 |
| Medicare PECOS PAC ID | 3274501036 |
|---|---|
| Medicare Enrollment ID | O20040920000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184761405 | NPI | - | NPPES |
| 000000179839 | Other | OH | ANTHEM GROUP NUMBER |
| 2588203 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |
| 207R00000X | Internal Medicine | (Ohio) | Secondary |
| Provider Name | Daniel Anthony Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255599171 PECOS PAC ID: 4385790682 Enrollment ID: I20090928000403 |
| Provider Name | Doug J Sposetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598131237 PECOS PAC ID: 6507152048 Enrollment ID: I20160908001872 |
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