Active NPI
Jason Sindledecker, NP-C
- Adult Health Nurse Practitioner
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 16123
- Practice address
- 1011 Boardman Canfield Rd
Youngstown, OH 44512-4226 - Phone
- (330) 629-2888
- Fax
- (330) 629-2946
- NPI assigned
- Jan 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 16123 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | 16123 | OH | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 16123 | OH |
Addresses
Primary practice location
1011 Boardman Canfield Rd
Youngstown, OH 44512-4226
Mailing address
1011 Boardman Canfield Rd
Youngstown, OH 44512-4226
Phone (330) 629-2888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0118087 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2603 W Market St
Suite 200
Akron, OH 44313-4234
Phone (330) 677-3628
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16123 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Recovery Center | Current | Accepting new patients | |
| Partners Physician Group | Current | Accepting new patients | |
| Partners Physician Group | Current | Accepting new patients | |
| Partners Physician Group | Past | Accepting new patients | |
| Family Recovery Center | Past | Accepting new patients |
Locations
2603 W Market St
Ste 200
Akron, OH 44313
Phone (330) 854-1571
224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505
307 W Main St
Ste C
Kent, OH 44240
Phone 3306773628219
964 N Market St
Lisbon, OH 44432
Phone (330) 424-1468
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Akron, OH
- NPI 1841239274
-
- Community/Behavioral Health Agency
- Lisbon, OH
- NPI 1821053042
-
- Pain Medicine (Anesthesiology) Physician
- Boardman, OH
- NPI 1386698215
-
- Public Health & General Preventive Medicine Physician
- Akron, OH
- NPI 1164814414
-
- Community/Behavioral Health Agency
- Lisbon, OH
- NPI 1740548155
-
- Family Medicine Physician
- Akron, OH
- NPI 1548207111
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1023406394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 BOARDMAN CANFIELD RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445124226",
"telephone_number": "330-629-2888",
"fax_number": "330-629-2946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 BOARDMAN CANFIELD RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445124226",
"telephone_number": "330-629-2888",
"fax_number": "330-629-2946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINDLEDECKER",
"first_name": "JASON",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-08",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "16123",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "16123",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "16123",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0118087",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.