Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Roman Davidenko, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366739039

Dr. Roman Davidenko, MD is a Family Practice in Austintown, Ohio. Graduated from Northeastern Ohio University College of Medicine in 2011, 15 years ago. Practices with River Valley Physicians LLC, a 55-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
15
Trained at
Northeastern Ohio University College of Medicine
Licensed in
OH
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1440 S Canfield Niles Rd Ste B
Austintown, OH 44515-4087
Phone: (234) 264-8080
Fax: (234) 264-8066
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35-121391 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366739039
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 1, 2011
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing address4150 Oak Knoll Dr, Boardman, OH 44512-1013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice River Valley Physicians Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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