Provider Demographics
NPI:1306239413
Name:ASSOCIATES IN PULMONARY MEDICINE
Entity type:Organization
Organization Name:ASSOCIATES IN PULMONARY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:PROIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-707-5864
Mailing Address - Street 1:8423 MARKET ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-6778
Mailing Address - Country:US
Mailing Address - Phone:330-707-5864
Mailing Address - Fax:330-707-2210
Practice Address - Street 1:2094 E STATE ST
Practice Address - Street 2:SUITE G
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-4409
Practice Address - Country:US
Practice Address - Phone:330-707-5864
Practice Address - Fax:330-707-2210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9352474Medicare PIN