Provider Demographics
NPI:1528370327
Name:DR JOHN J VARGO INC
Entity type:Organization
Organization Name:DR JOHN J VARGO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:VARGO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-799-8000
Mailing Address - Street 1:PO BOX 4374
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-0374
Mailing Address - Country:US
Mailing Address - Phone:330-799-8000
Mailing Address - Fax:330-799-8579
Practice Address - Street 1:5480 NORQUEST BLVD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-1820
Practice Address - Country:US
Practice Address - Phone:330-799-8000
Practice Address - Fax:330-799-8579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2011-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34004553261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care