PETER M DEVITO MD INC
NPI 1215356050
Surgery in Youngstown, OH

Active since April 09, 2014CLIA 36D0953771 · Waiver
7600 SOUTHERN BLVD, SUITE #2, YOUNGSTOWN, OH 44512(330) 758-3985 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Peter M Devito Md Inc NPPES

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

PETER M DEVITO MD INC (NPI 1215356050) is a healthcare organization registered as a surgery in Youngstown, Ohio and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through November 9, 2026 and lists Peter M De Vito, Physician, as its authorized official.

NPPES Registry Identity

NPI1215356050
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePETER M DEVITO MD INC
Location Address7600 SOUTHERN BLVD, SUITE #2Youngstown, OH 44512-6085
Mailing Address7600 Southern Blvd, Suite #2Youngstown, OH 44512-6085 · (330) 758-3985
Organization SubpartNo
Authorized OfficialPeter M De VitoPhysician · (330) 758-3985
Enumeration DateApril 9, 2014
NPI 1215356050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in OH · 35064590
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

7600 SOUTHERN BLVD, Youngstown, OH 44512

Other Identifiers 3

Medicare UPING27405
Medicare PIN0804001
Medicaid0259376OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0953771
Facility Type
Physician Office
Certificate Effective Date
November 10, 2024
Certificate Expiration Date
November 09, 2026
Laboratory Director
PETER M. DEVITO MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Peter M Devito Md Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Registered Nurse
7600 SOUTHERN BLVD, SUITE 1
BOARDMAN, OH 44512
Surgery
7600 SOUTHERN BLVD, SUITE 2
YOUNGSTOWN, OH 44512
Obstetrics & Gynecology
7600 SOUTHERN BLVD, SUITE 1
BOARDMAN, OH 44512
Nurse Practitioner (Obstetrics & Gynecology)
7600 SOUTHERN BLVD
BOARDMAN, OH 44512
Obstetrics & Gynecology
7600 SOUTHERN BLVD, SUITE 1
BOARDMAN, OH 44512
Anesthesiology (Pain Medicine)
7600 SOUTHERN BLVD, SUITE 1
YOUNGSTOWN, OH 44512
Pain Medicine (Interventional Pain Medicine)
7600 SOUTHERN BLVD, SUITE #1
YOUNGSTOWN, OH 44512

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215356050, enumerated as an "organization" on April 09, 2014.

The provider is located at 7600 SOUTHERN BLVD SUITE #2 YOUNGSTOWN, OH 44512 and the phone number is (330) 758-3985.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: CareSource, Molina Healthcare, Medicare and. Please consult your insurance carrier or call the provider to verify.