NPIMap

Individual provider Active NPI

Sharon E Vannostran, D.O.

  • Family Medicine Physician
  • Wadsworth, OH
National Provider Identifier
1124035340
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.007770 Issued in OH
Practice address
5133 Ridge Rd Ste 1
Wadsworth, OH 44281-8078
Phone
(330) 234-4455
Fax
(330) 234-4456
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.007770 OH Primary

Addresses

Primary practice location

5133 Ridge Rd Ste 1
Wadsworth, OH 44281-8078

Mailing address

5133 Ridge Rd Ste 1
Wadsworth, OH 44281-8078
Phone (330) 234-4455

Other identifiers 1

IdentifierTypeStateIssuer
2430211MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sharonvannostran@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040302000164 OH Practitioner - Family Practice 5496642746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

5133 Ridge Rd
Suite 1
Wadsworth, OH 44281-8078
Phone (330) 239-4455

Hospital & facility affiliations

  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Clinic Regional Physicians LLC Family Medicine Past Accepting new patients
Meridia Medical Group, LLC Past Accepting new patients
Akron Regional Hospital LLC PastSince Feb 2, 2007 Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

5133 Ridge Rd
Ste 1
Wadsworth, OH 44281
Phone (330) 234-4455

Interoperability endpoints

  • Direct secure messaging: svannostran21077@ehrdirect.uhhospitals.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1124035340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 RIDGE RD STE 1",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818078",
            "telephone_number": "330-234-4455",
            "fax_number": "330-234-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 RIDGE RD STE 1",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818078",
            "telephone_number": "330-234-4455",
            "fax_number": "330-234-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNOSTRAN",
        "first_name": "SHARON",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.007770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2430211",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sharonvannostran@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5133 Ridge Rd Ste 1",
            "city": "Wadsworth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442818078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

Verify at the official NPI Registry.