Provider Demographics
NPI:1033748579
Name:GEMMA, NICHOLAS C (DO)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:C
Last Name:GEMMA
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:100 DEBARTOLO PL STE 200
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-6095
Mailing Address - Country:US
Mailing Address - Phone:330-729-8145
Mailing Address - Fax:330-965-5229
Practice Address - Street 1:9371 E MARKET ST STE 2
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-5551
Practice Address - Country:US
Practice Address - Phone:234-287-6590
Practice Address - Fax:234-287-6380
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2025-07-10
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Provider Licenses
StateLicense IDTaxonomies
OH34.018016208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty