Individual provider Active NPI

David Anthony Sestak, DO

  • Emergency Medicine Physician
  • Delaware, OH
National Provider Identifier
1124015219
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34004956 Issued in OH
Practice address
1100 Sunbury Rd
Delaware, OH 43015-6040
Phone
(740) 363-3133
Fax
(740) 363-3135
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34004956 OH Primary

Addresses

Primary practice location

1100 Sunbury Rd
Delaware, OH 43015-6040

Mailing address

1105 Schrock Rd
Suite 200
Columbus, OH 43229-1146
Phone (614) 505-7633

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628001244 OH Practitioner - General Practice 2961488168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wedgewood Urgent Care, LTDGroup PAC ID 1557266129, 26 clinicians

Practice addresses (Care Compare)

4460 Lake Forest Dr
Suite 216
Blue Ash, OH 45242-3755
Phone (513) 281-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34004956OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wedgewood Urgent Care, LTD CurrentSince Jun 7, 2016 Accepting new patients
Mount Carmel Health System CurrentSince Jun 7, 2016 Accepting new patients
Urgent Medical Care of Pickerington Past Accepting new patients
Immediate Health Associates Emergency Medicine Past Accepting new patients
New Albany Medical Associates, LLC PastSince Nov 15, 2006 Accepting new patients
Access Urgent Medical Care of Upper Arlington Inc Past Accepting new patients
Dublin Urgent Care Inc Past Accepting new patients

Locations

4460 Lake Forest Dr
Ste 216
Blue Ash, OH 45242
Phone (614) 234-0600

2112 Cherry Valley Rd
Newark, OH 43055
Phone (740) 522-3774

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1124015219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SCHROCK RD",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291146",
            "telephone_number": "614-505-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SUNBURY RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430156040",
            "telephone_number": "740-363-3133",
            "fax_number": "740-363-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESTAK",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34004956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.