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TMMG
NPI 1538353883
Internal Medicine in Youngstown, OH

Active since August 30, 2007CLIA 36D0342454 · Waiver
20 OHLTOWN RD, YOUNGSTOWN, OH 44515(330) 797-9705(330) 270-5997 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tmmg NPPES

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

TMMG (NPI 1538353883) is a healthcare organization registered as an internal medicine in Youngstown, Ohio and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Mourad Rostom, Partner/executive, as its authorized official.

NPPES Registry Identity

NPI1538353883
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTRUMBULL MAHONING MEDICAL GROUP, INC.
Location Address20 OHLTOWN RDYoungstown, OH 44515-2331
Mailing Address20 Ohltown RdYoungstown, OH 44515-2331 · (330) 797-9705 · Fax (330) 270-5997
Phone(330) 797-9705
Fax(330) 270-5997
Organization SubpartYes
Authorized OfficialMourad RostomPartner/executive · (330) 372-8800
Enumeration DateAugust 30, 2007
Last NPPES UpdateJanuary 17, 2014
✔ NPI 1538353883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
20 OHLTOWN RD, Youngstown, OH 44515
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Other Names 1

Other NameTmmg

Other Identifiers 8

Other000000243183OH · Anthem Bc/bs Ohio
Medicaid0468677OH
Other=========-03OH · Ohio Workers Comp
Medicare PINCK8621OH
Other=========025OH · Medical Mutual Of Ohio
Other=========003OH · Tricare
Other1426141OH · Highmark Bc/bs Pa
Medicare PIN9330561OH

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

CLIA Laboratory Certificates CMS CLIA

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 36D0342454

Trumbull Mahoning Medical Group II Inc · Youngstown, OH
Active · expires Jun 30, 2027
CLIA Number36D0342454
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorDan N. Olson
Laboratory Phone(330) 372-8860
Laboratory LocationTrumbull Mahoning Medical Group II Inc20 Ohltown Road, Youngstown, OH 44515
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. SUSAN G WOODS MD
Dermatology
20 OHLTOWN RD
YOUNGSTOWN, OH 44515
Mahoning County (330) 884-1557
SHC YOUNGSTOWN OHIO OUTPATIENT SERVICES LLC
Clinic/Center (Urgent Care)
20 OHLTOWN RD
AUSTINTOWN, OH 44515
Mahoning County (330) 884-1500
MR. DANIEL LEE LUDWIG JR. NP-C
Nurse Practitioner (Family)
20 OHLTOWN RD
AUSTINTOWN, OH 44515
Mahoning County (330) 884-1504
YOUNGSTOWN OHIO OUTPATIENT SERVICES COMPANY LLC
Clinic/Center (Urgent Care)
20 OHLTOWN RD
AUSTINTOWN, OH 44515
Mahoning County (615) 465-7000
ANTHONY S LATTANZIO DO
Family Medicine
20 OHLTOWN RD, SUITE 2F
YOUNGSTOWN, OH 44515
Mahoning County (330) 884-1583
AHS OHIO DIAGNOSTICS, LLC
Clinic/Center (Radiology)
20 OHLTOWN RD, SUITE 103
AUSTINTOWN, OH 44515
Mahoning County (330) 884-1530
JAMES F SHINA MD LLC
Internal Medicine
20 OHLTOWN RD
YOUNGSTOWN, OH 44515
Mahoning County (330) 884-1590
PAUL W WATANAKUNAKORN M.D.
Internal Medicine
20 OHLTOWN RD
YOUNGSTOWN, OH 44515
Mahoning County (330) 797-9705

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 Trumbull Mahoning Medical Group, Inc.'s NPI number?

The NPI number for Trumbull Mahoning Medical Group, Inc. is 1538353883. It was assigned to this organization in the NPPES registry on August 30, 2007. The provider is also known as Tmmg.

Where is Trumbull Mahoning Medical Group, Inc. located?

Trumbull Mahoning Medical Group, Inc. is located at 20 Ohltown Rd, Youngstown, OH 44515. The listed phone number is (330) 797-9705.

What is Trumbull Mahoning Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Trumbull Mahoning Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0342454) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Trumbull Mahoning Medical Group, Inc. was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.