MERCY HEALTH - COLUMBIANA PODIATRY
NPI 1104304260
Durable Medical Equipment & Medical Supplies in Columbiana, OH

Active since August 01, 2018CLIA Certified · 2 labs
107 ROYAL BIRKDALE DR STE A, COLUMBIANA, OH 44408(330) 482-9350(330) 482-2336 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mercy Health - Columbiana Podiatry NPPES

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

MERCY HEALTH - COLUMBIANA PODIATRY (NPI 1104304260) is a healthcare organization registered as a durable medical equipment & medical supplies in Columbiana, Ohio and active in the NPI registry since August 2018. The organization holds 2 active CLIA laboratory certificates and lists Donald E. Kline, Region Ceo, as its authorized official.

NPPES Registry Identity

NPI1104304260
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMERCY HEALTH PHYSICIANS YOUNGSTOWN LLC
Location Address107 ROYAL BIRKDALE DR STE AColumbiana, OH 44408
Mailing Address1044 Belmont AveYoungstown, OH 44504-1006 · (330) 884-7010
Fax(330) 482-2336
Organization SubpartYes
Authorized OfficialDonald E. KlineRegion Ceo · (330) 884-7010
Enumeration DateAugust 1, 2018
Last NPPES UpdateMarch 25, 2019
NPI 1104304260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X
107 ROYAL BIRKDALE DR STE A, Columbiana, OH 44408

Other Names 1

Doing Business AsMercy Health - Columbiana Podiatry

Other Identifiers 1

Medicaid3136878OH

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0688051

Mercy Health Columbiana Primary Care · Columbiana, OH
Active · expires Aug 7, 2027
CLIA Number36D0688051
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorMichelle Dockry
Laboratory Phone(330) 482-9350
Laboratory LocationMercy Health Columbiana Primary Care107 Royal Birkdale Drive, Columbiana, OH 44408
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2153802

Mercy Health Columbiana Walk In Care · Columbiana, OH
Active · expires Aug 29, 2026
CLIA Number36D2153802
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorJohn Manenti
Laboratory Phone(330) 482-9350
Laboratory LocationMercy Health Columbiana Walk In Care107 Royal Birkdale Dr, Columbiana, OH 44408
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Family Medicine
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Family Medicine
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Durable Medical Equipment & Medical Supplies (Customized Equipment)
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Podiatrist (Primary Podiatric Medicine)
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Physical Therapist
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Podiatrist (Primary Podiatric Medicine)
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Internal Medicine
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Nurse Practitioner (Adult Health)
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408

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 Mercy Health Physicians Youngstown LLC's NPI number?

The NPI number for Mercy Health Physicians Youngstown LLC is 1104304260. It was assigned to this organization in the NPPES registry on August 1, 2018. The provider is doing business as Mercy Health - Columbiana Podiatry.

Where is Mercy Health Physicians Youngstown LLC located?

Mercy Health Physicians Youngstown LLC is located at 107 Royal Birkdale Dr Ste A, Columbiana, OH 44408. The listed phone number is (330) 482-9350.

What is Mercy Health Physicians Youngstown LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Mercy Health Physicians Youngstown LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mercy Health Physicians Youngstown LLC was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.