MEDICARE: MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC

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
1	2085R0001X	Radiation Oncology Physician
2	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1255009601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC

Provider Business Mailing Address
First Line	:	4600 MCAULEY PL STE 600
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-4778
Country	:	US
Telephone Number	:	330-306-5300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1932 NILES CORTLAND RD NE
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44484-1055
Country	:	US
Telephone Number	:	330-306-5300
Fax Number	:

Authorized Official
Title or Position	:	SYSTEM DIRECTOR, PAYER DELEGATION &
Name	:	CASSIE LOWE
Credential	:
Telephone Number	:	513-952-5210

Provider Enumeration Date	:	09/01/2021
Last Update Date	:	03/11/2026

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