MEDICARE: DR. NICHOLAS A ATANASOFF D.O.

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	2084P0800X	Psychiatry Physician	34007837	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992762264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS A ATANASOFF D.O.

Provider Business Mailing Address
First Line	:	8090 MARKET ST
Second Line	:
City	:	BOARDMAN
State	:	OH
Zip	:	44512-6216
Country	:	US
Telephone Number	:	330-629-2596
Fax Number	:	330-629-2847

Provider Business Practice Location Address
First Line	:	819 MCKAY CT STE 102
Second Line	:
City	:	BOARDMAN
State	:	OH
Zip	:	44512-5771
Country	:	US
Telephone Number	:	330-259-4849
Fax Number	:	330-629-2847

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	11/07/2023

Similar Medicare Providers

1740148311 — WILLIAMS MANSFIELD
Practice Location Address:

819 MCKAY CT STE 102
BOARDMAN, OH
44512-5771

Practice Phone: 330-259-4849
Practice Fax:

1356612261 — ADDICTION OUTREACH CLINIC LTD
Practice Location Address:

819 MCKAY CT STE 102
BOARDMAN, OH
44512-5771

Practice Phone: 330-259-4849
Practice Fax: 330-629-2847

1558774133 — JOHN S VENGLARCIK III
Practice Location Address:

819 MCKAY CT STE B3
BOARDMAN, OH
44512-5771

Practice Phone: 330-884-3993
Practice Fax: 330-884-0516

1003260613 — SARAH DEIGER LISW-S
Practice Location Address:

819 MCKAY CT STE 102
BOARDMAN, OH
44512-5771

Practice Phone: 330-259-4849
Practice Fax:

1689381667 — VICKIE LYNN LIBERATORE
Practice Location Address:

819 MCKAY CT STE 102
BOARDMAN, OH
44512-5771

Practice Phone: 330-259-4849
Practice Fax: 330-629-2847

1871451757 — HANDLES WITH CARE PSYCHIATRY
Practice Location Address:

407 BOARDMAN CANFIELD RD # 3863
YOUNGSTOWN, OH
44512-4730

Practice Phone: 330-406-9939
Practice Fax:

Directions to “ DR. NICHOLAS A ATANASOFF D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.