Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TRUMBULL MAHONING MEDICAL GROUP, INC.
Active
Organization
TRUMBULL MAHONING MEDICAL GROUP, INC.
Active
Parent organization
TRUMBULL MAHONING MEDICAL GROUP, INC.
Other names
TMMG
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRUMBULL MAHONING MEDICAL GROUP, INC.
Authorized official
DR. MOURAD ROSTOM M.D. (PARTNER/EXECUTIVE)
(330) 372-8800
Entity
Organization
Contact information
Practice address
20 OHLTOWN RD, YOUNGSTOWN, OH 44515-2331
(330) 797-9705
(330) 270-5997
Mailing address
20 OHLTOWN RD, YOUNGSTOWN, OH 44515-2331
(330) 797-9705
(330) 270-5997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000243183
ANTHEM BC/BS OHIO
OH
05
—
0468677
—
OH
01
—
1426141
HIGHMARK BC/BS PA
OH
Enumeration date
08/30/2007
Last updated
01/17/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up