BOARDMAN GASTROENTEROLOGY GROUP, INC.
NPI 1881964930
Internal Medicine - Gastroenterology in Youngstown, OH

Q: What is Boardman Gastroenterology Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since January 06, 2012CLIA 36D2038211 · Waiver

1220 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512(330) 726-0131(330) 726-2571 Get Directions Write a Review

NPPES record last updated: January 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Boardman Gastroenterology Group, Inc. NPPES

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

BOARDMAN GASTROENTEROLOGY GROUP, INC. (NPI 1881964930) is a healthcare organization registered as a gastroenterology in Youngstown, Ohio and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Denise Irwin, Billing Administrator, as its authorized official.

NPPES Registry Identity

NPI1881964930

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameBOARDMAN GASTROENTEROLOGY GROUP, INC.

Location Address1220 BOARDMAN CANFIELD RDYoungstown, OH 44512-4003

Mailing Address1622 E Market StWarren, OH 44483-6613 · (330) 399-7215 · Fax (330) 399-2411

Phone(330) 726-0131

Fax(330) 726-2571

Organization SubpartNo

Authorized OfficialDenise IrwinBilling Administrator · (330) 399-7215

Enumeration DateJanuary 6, 2012

✔ NPI 1881964930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in OH · 2068614

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1220 BOARDMAN CANFIELD RD, Youngstown, OH 44512

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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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

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 36D2038211

Boardman Gastroenterology Group Inc · Youngstown, OH

Active · expires Oct 27, 2027

CLIA Number36D2038211

Laboratory TypePhysician Office

Certificate Effective DateOctober 28, 2025

Certificate Expiration DateOctober 27, 2027

Laboratory DirectorAdel I. Youssef

Laboratory Phone(330) 399-7215

Laboratory LocationBoardman Gastroenterology Group Inc1220 Boardman Canfield Road, Youngstown, OH 44512

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

YING K AMORN MD

Internal Medicine (Gastroenterology)

1220 BOARDMAN CANFIELD RD
YOUNGSTOWN, OH 44512

Mahoning County (330) 726-0131

YING AMORN, M.D., F.A.C.G., INC.

Internal Medicine (Gastroenterology)

1220 BOARDMAN CANFIELD RD
YOUNGSTOWN, OH 44512

Mahoning County (330) 726-0131

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 Boardman Gastroenterology Group, Inc.'s NPI number?

The NPI number for Boardman Gastroenterology Group, Inc. is 1881964930. It was assigned to this organization in the NPPES registry on January 6, 2012.

Where is Boardman Gastroenterology Group, Inc. located?

Boardman Gastroenterology Group, Inc. is located at 1220 Boardman Canfield Rd, Youngstown, OH 44512. The listed phone number is (330) 726-0131.

What is Boardman Gastroenterology Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Boardman Gastroenterology Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2038211) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Boardman Gastroenterology Group, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Boardman Gastroenterology Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boardman Gastroenterology Group, Inc. was last updated on January 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.