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MERCY HEALTH - BOARDMAN ORTHOPAEDICS
NPI 1750920245
Durable Medical Equipment & Medical Supplies in Boardman, OH

Active since December 31, 2019CLIA 36D2141775 · Waiver
835 MCKAY CT STE 100, BOARDMAN, OH 44512(330) 758-4399(330) 758-8995 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2020, Dec 31, 2019 (2 updates tracked since 2019).

About Mercy Health - Boardman Orthopaedics NPPES

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

MERCY HEALTH - BOARDMAN ORTHOPAEDICS (NPI 1750920245) is a healthcare organization registered as a durable medical equipment & medical supplies in Boardman, Ohio and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Olivia Dacre, Cfo, Medical Group, as its authorized official.

NPPES Registry Identity

NPI1750920245
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMERCY HEALTH PHYSICIANS YOUNGSTOWN LLC
Location Address835 MCKAY CT STE 100Boardman, OH 44512-5786
Mailing Address835 Mckay Ct Ste 100Boardman, OH 44512-5786 · (330) 758-4399 · Fax (330) 758-8995
Phone(330) 758-4399
Fax(330) 758-8995
Organization SubpartNo
Authorized OfficialOlivia DacreCfo, Medical Group · (419) 251-9650
Enumeration DateDecember 31, 2019
Last NPPES UpdateJuly 14, 20202 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
✔ NPI 1750920245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
835 MCKAY CT STE 100, Boardman, OH 44512
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Other Names 1

Doing Business AsMercy Health - Boardman Orthopaedics

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 36D2141775

Mercy Health Boardman Endocrinology · Boardman, OH
Active · expires Dec 19, 2027
CLIA Number36D2141775
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorMilad Abusag
Laboratory Phone(330) 729-3878
Laboratory LocationMercy Health Boardman Endocrinology835 Mckay Court, Suite 100, Boardman, OH 44512
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

MRS. DEBBIE LEE WALKER APRN, FNP-C
Nurse Practitioner (Family)
835 MCKAY CT STE 100
BOARDMAN, OH 44512
Mahoning County (330) 729-8970
SHANNON LEE MONTGOMERY OT
Occupational Therapist
835 MCKAY CT STE 100
BOARDMAN, OH 44512
Mahoning County (330) 965-3899
PATRICK LEE MCCARTHY PT, DPT, CSCS
Physical Therapist
835 MCKAY CT STE 100
BOARDMAN, OH 44512
Mahoning County (330) 965-3899
MARSHALL HUNTER BERKELEY DPT
Physical Therapist
835 MCKAY CT STE 100
BOARDMAN, OH 44512
Mahoning County (330) 965-3899
NICOLLE ANN HENDRICK DPT
Physical Therapist
835 MCKAY CT STE 100
BOARDMAN, OH 44512
Mahoning County (330) 965-3899
MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC
Durable Medical Equipment & Medical Supplies
835 MCKAY CT STE 100
BOARDMAN, OH 44512
Mahoning County (330) 758-4399
MARYCATHERINE COLER
Occupational Therapist
835 MCKAY CT STE 100
BOARDMAN, OH 44512
Mahoning County (330) 965-3899
MARK JAMES COLALUCA CNP
Nurse Practitioner (Primary Care)
835 MCKAY CT STE 100
BOARDMAN, OH 44512
Mahoning County (330) 758-4399

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 1750920245. It was assigned to this organization in the NPPES registry on December 31, 2019. The provider is doing business as Mercy Health - Boardman Orthopaedics.

Where is Mercy Health Physicians Youngstown LLC located?

Mercy Health Physicians Youngstown LLC is located at 835 Mckay Ct Ste 100, Boardman, OH 44512. The listed phone number is (330) 758-4399.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2141775) is associated with this NPI, valid through December 19, 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 Mercy Health Physicians Youngstown LLC was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.