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Dr. Marisa M Mancuso , DO

Pediatrics β€’ Boardman, OH

Active NPI 1124647516 Individual Practitioner Female Practitioner
Practice location in NPPES

6505 Market St
Boardman, OH 445121063

Call 3305438178 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6505 Market St

Boardman, OH 445121063

Telephone 3305438178
Organization at the Same NPPES Address or Phone
Facial & Aesthetic Plastic Surgery Center, Llc Facility NPI 1821209909

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Boardman and Ohio

12 active clinicians are listed under Pediatrics with a practice address in Boardman, OH (2,972 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boardman

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 34.016662

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Michael Cone , DO

Emergency Medicine

NPI 1336180868

Doctor of Osteopathic Medicine (D.O.)

Dr. Kimberly Mc Abee , MD

Internal Medicine

NPI 1649227844

Doctor of Medicine (M.D.)

Dr. William Nowotny , DO

Emergency Medicine

NPI 1235170788

Doctor of Osteopathic Medicine (D.O.)

Dana Reeher

Nurse Practitioner - Family

NPI 1770800229
Dr. David Sansoterra , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1952301715

Doctor of Medicine (M.D.)

Molly Woodford

Nurse Practitioner - Family

NPI 1639841208

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location June 24, 2023

Registered at 6505 MARKET ST, BOARDMAN, OH 445121063 (Tel: 3305438178)

βœ…
NPI Profile Active April 15, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 15, 2020

Registered at 1 PERKINS SQ, AKRON, OH 443081063 (Tel: 3305438178)

πŸ“
Business Mailing Address (Initial Record) April 15, 2020

Registered at 1 PERKINS SQ, AKRON, OH 443081063 (Tel: 4404765722)

πŸ‘€
Provider Name / Credentials (Initial Record) April 15, 2020

Recorded as MARISA MANCUSO, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 15, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124647516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2020
Last Update: June 24, 2023
Sole Proprietor: Yes

Mailing Address

1 Perkins Sq

Akron, OH 443081063

Phone: 4404765722

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.