WALTER J PASSARELLO DO LLC NPI 1669687760

NPI Information

  • NPI: 1669687760
  • Provider Name: WALTER J PASSARELLO, DO LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 8064 SOUTH AVE
    BOARDMAN, OH
    ZIP 44512
  • Phone: (330) 757-7888

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NPI Details

WALTER J PASSARELLO, DO LLC is a general practice in Boardman, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WALTER J PASSARELLO, DO LLC NPI is 1669687760. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8064 SOUTH AVE
BOARDMAN, OH
ZIP 44512-153
Phone: (330) 757-7888
Fax: (330) 757-4912

The provider's authorized official is Walter J Passarello .
The authorized official title is Owner and has the following contact phone number (330) 757-7888.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice34006450OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12101120MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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