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INTERDISCIPLINARY MEDICAL MGT
NPI 1104904663
Durable Medical Equipment & Medical Supplies in Warren, OH

Active since November 01, 2006
2103 NILES CORTLAND RD, WARREN, OH 44484(330) 544-3737(330) 544-3904 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Interdisciplinary Medical Mgt NPPES

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

INTERDISCIPLINARY MEDICAL MGT (NPI 1104904663), doing business as Great East Rehab Inc, is a healthcare organization registered as a durable medical equipment & medical supplies in Warren, Ohio and active in the NPI registry since November 2006. The organization lists Catherine A Stychno, President, as its authorized official.

NPPES Registry Identity

NPI1104904663
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameINTERDISCIPLINARY MEDICAL MGT
Location Address2103 NILES CORTLAND RDWarren, OH 44484
Mailing Address2103 Niles Cortland RdWarren, OH 44484 · (330) 544-3737 · Fax (330) 544-3904
Phone(330) 544-3737
Fax(330) 544-3904
Organization SubpartNo
Authorized OfficialCatherine A StychnoPresident · (330) 544-3737
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1104904663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in OH · 6881
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 ListedPhysical TherapistTaxonomy 225100000X · License 6881 (OH)
2103 NILES CORTLAND RD, Warren, OH 44484
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Other Names 1

Doing Business AsGreat East Rehab Inc

Other Identifiers 1

Medicaid2365202OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

NESTOR A STYCHNO DC
Chiropractor
2103 NILES CORTLAND RD
WARREN, OH 44484
Trumbull County (330) 544-3737

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 Interdisciplinary Medical Mgt's NPI number?

The NPI number for Interdisciplinary Medical Mgt is 1104904663. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Great East Rehab Inc.

Where is Interdisciplinary Medical Mgt located?

Interdisciplinary Medical Mgt is located at 2103 Niles Cortland Rd, Warren, OH 44484. The listed phone number is (330) 544-3737.

What is Interdisciplinary Medical Mgt's specialty?

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

When was this NPI record last updated?

The NPPES record for Interdisciplinary Medical Mgt was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.