Individual provider Active NPI

Mark Joseph Woyshville, M.D.

  • Psychiatry Physician
  • Middleburg Heights, OH
National Provider Identifier
1275612848
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.063012 Issued in OH
Practice address
18660 Bagley Rd
Building II Suite 205
Middleburg Heights, OH 44130
Phone
(440) 234-5700
Fax
(440) 234-5710
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 35.063012 OH
Psychiatry Physician 2084P0800X 35.063012 OH Primary
Addiction Psychiatry Physician 2084P0802X 35.063012 OH

Addresses

Primary practice location

18660 Bagley Rd
Building II Suite 205
Middleburg Heights, OH 44130

Mailing address

18660 Bagley Rd
Building II Suite 205
Middleburg Heights, OH 44130-3483
Phone (440) 234-5700

Other identifiers 1

IdentifierTypeStateIssuer
0919617MedicaidOH

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
I20040625000982 OH Practitioner - PsychiatryPractitioner - Addiction MedicinePractitioner - Sleep MedicinePractitioner - Neuropsychiatry 3870579220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Neuropsychiatry, Sleep Medicine
Education
University of Cincinnati College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18660 Bagley Rd
Suite 205
Middleburg Heights, OH 44130-3483
Phone (440) 234-5700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Corporation Current Accepting new patients
North Star Medical Research, LLC Psychiatry CurrentSince Nov 7, 2018 Accepting new patients
Ohio Treatment Center, LLC Past Accepting new patients
Fortaleza,LLC Past Accepting new patients
State of Ohio Office of Budget and Management State Accounting Past Accepting new patients

Locations

1515 W 29th St
Cleveland, OH 44113
Phone (216) 574-9000

7911 Detroit Ave
Cleveland, OH 44102
Phone (216) 334-2876

18660 Bagley Rd
Bldg Ii
Middleburg Heights, OH 44130
Phone (440) 234-5700

Interoperability endpoints

  • Direct secure messaging: mwoyshville@direct.swgeneral.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1275612848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD",
            "address_2": "BUILDING II SUITE 205",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303483",
            "telephone_number": "440-234-5700",
            "fax_number": "440-234-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD",
            "address_2": "BUILDING II SUITE 205",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-234-5700",
            "fax_number": "440-234-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOYSHVILLE",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "OH",
            "license": "35.063012",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.063012",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "OH",
            "license": "35.063012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0919617",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.