Healthcare Provider Details

I. General information

NPI: 1932102506
Provider Name (Legal Business Name): YOUNGSTOWN ORTHOPAEDIC ASSOCIATES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8591 CROSSROADS DRIVE
YOUNGSTOWN OH
44514-4381
US

IV. Provider business mailing address

8591 CROSSROADS DRIVE
YOUNGSTOWN OH
44514-4381
US

V. Phone/Fax

Practice location:
  • Phone: 330-758-0577
  • Fax: 330-533-1772
Mailing address:
  • Phone: 330-758-0577
  • Fax: 330-533-1772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS A JOSEPH
Title or Position: PRESIDENT
Credential: MD
Phone: 330-758-0577