Active NPI
Vincent J Staschiak, DPM
- Foot & Ankle Surgery Podiatrist
- Lewis Center, OH
National Provider Identifier
1275589038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36003047
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2647470 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 31 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36003047 | OH | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Ohio Foot and Ankle Specialists LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Feet for Life Centers Inc PC | Foot & Ankle Surgery | Current | 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
- clinical@feetforlife.directbygreenway.com
- https://api.platform.athenahealth.com/26794/brand/1/csg/1/fhir/r4
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71486
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Lewis Center, OH
- NPI 1356075279
-
- Foot & Ankle Surgery Podiatrist
- Saint Louis, MO
- NPI 1548484819
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.