Individual provider Active NPI

Vincent J Staschiak, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lewis Center, OH
National Provider Identifier
1275589038
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003047 Issued in OH
Practice address
7100 Graphics Way # 3300
Lewis Center, OH 43035-1123
Phone
(740) 879-3939
Fax
(740) 879-3131
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36003047 OH Primary

Addresses

Primary practice location

7100 Graphics Way # 3300
Lewis Center, OH 43035-1123

Mailing address

7100 Graphics Way # 3300
Lewis Center, OH 43035-1123
Phone (224) 217-2562

Other identifiers 1

IdentifierTypeStateIssuer
2647470MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060808000003 OH Practitioner - Podiatry 6800825746 Reassigns benefits to 1 organization
I20120503000674 MO Practitioner - Podiatry 6800825746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7100 Graphics Way
Suite 3300
Lewis Center, OH 43035-1123
Phone (740) 879-3939

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue31
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003047OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Foot and Ankle Specialists LLC Foot & Ankle Surgery CurrentSince May 16, 2022 Accepting new patients
Feet for Life Centers Inc PC Foot & Ankle Surgery CurrentSince Apr 4, 2012 Accepting new patients

Locations

8637 Delmar Blvd
Saint Louis, MO 63124
Phone (314) 880-0717

7100 Graphics Way
Ste 3300
Lewis Center, OH 43035
Phone (224) 217-2562

Interoperability endpoints

  • Direct secure messaging: clinical@feetforlife.directbygreenway.com
  • FHIR API: https://api.platform.athenahealth.com/26794/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71486
  • Direct secure messaging: vstaschiak@mofas.emadirect.md

Organizations & group practices 2

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1275589038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 GRAPHICS WAY # 3300",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430351123",
            "telephone_number": "224-217-2562",
            "fax_number": "740-879-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 GRAPHICS WAY # 3300",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430351123",
            "telephone_number": "740-879-3939",
            "fax_number": "740-879-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASCHIAK",
        "first_name": "VINCENT",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2647470",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

Verify at the official NPI Registry.