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ANTONIUS SUSATYO HADI MD
NPI 1033296942
Obstetrics & Gynecology in Boardman, OH

Active since November 01, 2006
8401 MARKET ST, BOARDMAN, OH 44512(330) 729-4350(330) 729-4351 Get Directions Write a Review

NPPES record last updated: December 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2016, Sep 29, 2015 (2 updates tracked since 2015).

About Antonius Susatyo Hadi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIUS SUSATYO HADI MD (NPI 1033296942) is an individual obstetrics & gynecology provider in Boardman, Ohio, licensed in Ohio (35046065) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1033296942
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameANTONIUS SUSATYO HADICredential: MD
Location Address8401 MARKET STBoardman, OH 44512-6725
Mailing Address8401 Market StBoardman, OH 44512-6725 · (330) 729-4350 · Fax (330) 729-4351
Phone(330) 729-4350
Fax(330) 729-4351
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 28, 20162 updates tracked since enumeration
✔ NPI 1033296942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35046065
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
8401 MARKET ST, Boardman, OH 44512
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Other Identifiers 4

Medicare UPINE07234
OtherH087621OH · Medicare Ptan
Medicaid2444519OH
Medicare PINH087621OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA HARRIMAN AUSTIN DO
Internal Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4298
DR. JEROME CHELLIAH MD, MPH
Obstetrics & Gynecology
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4350
SHREY PATEL DO
Emergency Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-7960
BENJAMIN MINER
Emergency Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-8757
DR. JEANINE AWAD-SPIRTOS M.D.
Emergency Medicine
8401 MARKET ST
YOUNGSTOWN, OH 44512
Mahoning County (330) 729-2929
ROBERT KOLLER DO
Family Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4298
MISS AMBER HUNKUS APRN
Nurse Practitioner (Family)
8401 MARKET ST
YOUNGSTOWN, OH 44512
Mahoning County (330) 729-4298
PATRIZIA GUERRIERI M.D.
Radiology (Radiation Oncology)
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-7530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonius Hadi's NPI number?

The NPI number for Antonius Hadi is 1033296942. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Antonius Hadi located?

Antonius Hadi practices at 8401 Market St, Boardman, OH 44512. The listed phone number is (330) 729-4350.

What is Antonius Hadi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Antonius Hadi was last updated on December 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.