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NPI Code Detail

MEDICARE: MR. GERALD ANASTASIA LISW

MEDICARE: MR. GERALD ANASTASIA LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW122475PA
21041C0700XClinical Social WorkerI1700183OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11509690OTHERPABLUE SHIELD PROVIDER NUMB

General Provider Information

NPI Number : 1932141587
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GERALD ANASTASIA LISW
Provider Business Mailing Address
First Line : 527 N MERIDIAN RD
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44509-1227
Country : US
Telephone Number : 330-797-0070
Fax Number : 330-797-9146
Provider Business Practice Location Address
First Line : 527 N MERIDIAN RD
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44509-1227
Country : US
Telephone Number : 330-797-0070
Fax Number : 330-797-9146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2006
Last Update Date : 08/18/2025

Similar Medicare Providers

1336003417 — ADRIENNE M WHITT CNP, RN
Practice Location Address:
527 N MERIDIAN RD
YOUNGSTOWN, OH
44509-1227
Practice Phone: 330-797-0070
Practice Fax: 330-797-9146
1720899263 — MICHAEL CARNEY CDCA, QMHS
Practice Location Address:
527 N MERIDIAN RD
YOUNGSTOWN, OH
44509-1227
Practice Phone: 330-797-0070
Practice Fax: 330-797-9146
1750365631 — DR. SALIM C EL HAYEK M.D.
Practice Location Address:
515 N MERIDIAN RD
YOUNGSTOWN, OH
44509-1227
Practice Phone: 330-799-1861
Practice Fax: 330-799-3280
1992766638 — DR. LUIS E VILLAPLANA MD
Practice Location Address:
527 N MERIDIAN RD
YOUNGSTOWN, OH
44509-1227
Practice Phone: 330-797-0070
Practice Fax: 330-797-9146
1356307235 — MERIDIAN HEALTHCARE
Practice Location Address:
527 N MERIDIAN RD
YOUNGSTOWN, OH
44509-1227
Practice Phone: 330-797-0070
Practice Fax: 330-797-9146
1740221589 — THEODORE SPIRTOS MD
Practice Location Address:
527 N MERIDIAN RD
YOUNGSTOWN, OH
44509-1227
Practice Phone: 330-797-0070
Practice Fax: 330-797-9146

Directions to “ MR. GERALD ANASTASIA LISW” Practice Location

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