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

Ted Faull, MD

Individual provider Family Medicine Physician · NPI 1770560724

Ted Faull, MD is a Family Practice in Boardman, Ohio. Graduated from Pennsylvania State University College of Medicine in 1984, 42 years ago. Practices with Mercy Health Physicians Youngstown, LLC, a 117-clinician group and accepts Medicare assignment. Licensed in Illinois and Ohio.

Years since qualifying
42
Trained at
Pennsylvania State University College of Medicine
Licensed in
IL, OH
In the registry since
2005
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

900 Trailwood Dr
Boardman, OH 44512-5007
Phone: (330) 726-2575
Fax: (330) 921-9319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 35.091967 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 36082109 (IL)

Record details

NPI number1770560724
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 29, 2005
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024
Mailing address7341 Eisenhower Dr, Youngstown, OH 44512-5900

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Mercy Health Physicians Youngstown, Llc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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