Healthcare Provider Details

I. General information

NPI: 1881697225
Provider Name (Legal Business Name): YOUNGSTOWN ORTHOPAEDIC ASSOCIATES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1499 BOARDMAN CANFIELD RD
BOARDMAN OH
44512-4008
US

IV. Provider business mailing address

8591 CROSSROAD DR
YOUNGSTOWN OH
44514-4382
US

V. Phone/Fax

Practice location:
  • Phone: 330-758-0577
  • Fax: 330-533-4587
Mailing address:
  • Phone: 330-758-0577
  • Fax: 330-729-2766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS JOSEPH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 330-758-0577