Dr. Fred R Pruitt
Internal Medicine

Address: 550 Parmalee Ave, Suite 310, Youngstown, OH 44510
Phone: 3307465576

Dr. Fred R Pruitt (NPI# 1356361075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1356361075
Entity Type Individual
Full Name Dr. Fred R Pruitt
Credential M.D.
Gender Male
Practice Address 550 Parmalee Ave
Suite 310
Youngstown
OH 44510
Practice Telephone 3307465576
Practice Fax Number 3307462955
Mailing Address 550 Parmalee Ave
Suite 310
Youngstown
OH 44510
Mailing Telephone 3307465576
Mailing Fax Number 3307462955
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-07-19
Last Update Date 2012-07-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 35842 OH

Other Provider Identifier

State Identifier Issuer Type Code
OH 0227481 MEDICAID
OH 000000149029 OTHER ANTHEM

Physician Overview

NPI 1356361075
PAC ID by PECOS 8527967991
Professional Enrollment ID I20040105000595
Full Name Fred R Pruitt
Phone Number 3307465576
Gender M
Credential MD
Medical School MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year 1967
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360064 ST ELIZABETH YOUNGSTOWN HOSPITAL

Office Location

Street Address 550 PARMALEE AVE
SUITE 310
City YOUNGSTOWN
State OH
Zip Code 44510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669472817 Bhargava Ravi Internal Medicine 550 Parmalee Ave, Suite 400, Youngstown, OH 44510-1602 2005-07-29
1205001708 Nephrology Associates, Inc. Internal Medicine 550 Parmalee Ave, Suite 300, Youngstown, OH 44510-1602 2008-04-25
1063611309 John R Becker Jr Md Inc Psychiatry & Neurology 550 Parmalee Ave, Suite 200, Youngstown, OH 44510-1602 2007-07-17
1578515425 Digvijay Singh Internal Medicine 550 Parmalee Ave, Ste 210, Youngstown, OH 44510-1602 2006-05-17
1346216462 Tahir Firdaus Specialist 550 Parmalee Ave, Suite 410, Youngstown, OH 44510-1602 2006-02-28
1093796427 John R Becker Jr. Psychiatry & Neurology 550 Parmalee Ave, Ste 200, Youngstown, OH 44510-1602 2005-11-11
1477553535 Sudhir Kumar Nallapaneni Internal Medicine 550 Parmalee Ave, Suite 400, Youngstown, OH 44510-1602 2005-07-29
1194725259 Youngstown Internal Medicine, L.l.c. Internal Medicine 550 Parmalee Ave, Suite 100, Youngstown, OH 44510-1602 2005-07-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194248286 Melanie Marie Bucciarelli Nurse Practitioner 540 Parmalee Ave Ste 610, Youngstown, OH 44510 2017-07-20
1861978603 Fatemeh Dehghan Manshadi Counselor 611 Belmont Avenue, Youngstown, OH 44510 2018-07-16
1952780256 Stephen Dominic Pupillo Internal Medicine 1001 Covington St, Youngstown, OH 44510 2015-05-20
1588005946 Lisa J Cascarelli Registered Nurse 1001 Covington St, Youngstown, OH 44510 2013-07-15
1891041141 Lillianne Stanitsas Surgery 1001 Covington St, Youngstown, OH 44510 2012-07-24
1912900341 Scientific Medical Imaging, Inc. Specialist 540 Parmalee Ave, Suite 100, Youngstown, OH 44510 2005-05-31
1396965695 Anthony Guy Gambone Dentist 813 Catalina Ave, Youngstown, OH 44510-1206 2007-04-27
1578548830 Brian P Brocker Neurological Surgery 1616 Covington St, Youngstown, OH 44510-1244 2005-12-09
1134316664 Brian P. Brocker M.d., Inc Specialist 1616 Covington St, Youngstown, OH 44510-1244 2007-09-28
1376730838 Robert J. Brocker M.d., Inc. Specialist 1616 Covington St, Youngstown, OH 44510-1244 2007-09-28
Find all providers in zip 44510

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700376050 Charmaine Clarisse Dequito Abalos Internal Medicine 1044 Belmont Avenue., Youngstown, OH 44501 2018-05-12
1750889457 Abolfazl Sodagar Internal Medicine 465 Gypsy Ln Apt 210, Youngstown, OH 44504-1363 2018-01-28
1174979157 Hiyam Abdelmagid Internal Medicine 1001 Covington Ave., Youngstown, OH 44504 2016-05-10
1083060404 Amer Aldamouk Internal Medicine 1001 Covington Ave, Youngstown, OH 44504 2016-05-05
1144634833 Venkateswara Kumar Kollipara Internal Medicine St. Elizabeth Health Center, 1044 Belmont Ave, Youngstown, OH 44501-1790 2014-06-20
1538458583 Elias Issa Internal Medicine 475 Gypsy Ln, Apt#4, Youngstown, OH 44504-1340 2011-03-30
1184943730 Saurabh Dahiya Internal Medicine 465 Gypsy Ln Apt 404, Youngstown, OH 44504-1365 2010-05-21
1003144643 Khaled Al-taieb Internal Medicine 465 Gypsy Ln Apt 407, Youngstown, OH 44504-1364 2009-11-19
1730316217 Fasahat Bano Internal Medicine 2301 Belmont Avene, Primary Care Clinic In Youngstown, Ohio (veterans Admin, Youngstown, OH 44130 2009-06-11
1770605339 Luis E. Villaplana M.d.,inc Internal Medicine 823 Southwestern Run, Youngstown, OH 44514 2007-04-04
Find all providers in YOUNGSTOWN

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City YOUNGSTOWN
Zip Code 44510

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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