| St. George Medical Practice, Inc. | |
|
1254 Youngstown Warren Rd Suite 3 A Niles OH 44446-4651 | |
| (330) 652-3000 | |
| Not Available |
| Full Name | St. George Medical Practice, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1254 Youngstown Warren Rd, Niles, Ohio |
| Authorized Official Name and Position | Heba L Mikhail (PRESIDENT) |
| Authorized Official Contact | 3306523000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. George Medical Practice, Inc. 1254 Youngstown Warren Rd Suite 3 A Niles OH 44446-4651 Ph: (330) 652-3000 | St. George Medical Practice, Inc. 1254 Youngstown Warren Rd Suite 3 A Niles OH 44446-4651 Ph: (330) 652-3000 |
| NPI Number | 1366522583 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 11/17/2010 |
| Medicare PECOS PAC ID | 7517966260 |
|---|---|
| Medicare Enrollment ID | O20081203000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366522583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bahaa Azmy Awadalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891763728 PECOS PAC ID: 2860479060 Enrollment ID: I20040706001003 |
| Provider Name | Heba L Mikhail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205916418 PECOS PAC ID: 8426057175 Enrollment ID: I20061207000210 |
Joseph A Potocki Do Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 531 Robbins Ave, Niles, OH 44446 Phone: 330-544-3431 Fax: 330-544-3432 | |
Phillip Malvasi D.o.l L C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 Youngstown Warren Rd, Niles, OH 44446 Phone: 330-544-5600 Fax: 330-544-5550 | |
Dr. Yogesh O. Sheth, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Robbins Ave, Niles, OH 44446 Phone: 330-652-7973 Fax: 330-652-7876 | |
Manuel T. Ting, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 Vienna Ave, Niles, OH 44446 Phone: 330-652-9986 | |
Family Medical Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1150 Niles Cortland Rd, Niles, OH 44446 Phone: 330-652-1759 Fax: 330-652-2719 | |
Michael T. Cilettim.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Robbins Ave, Niles, OH 44446 Phone: 330-652-5455 Fax: 330-652-1689 |