Active NPI
Steven L. Sheakoski, M.D.
- Anesthesiology Physician
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35-055220
- Practice address
- 1044 Belmont Ave
Youngstown, OH 44504-1006 - Phone
- (330) 480-3658
- Fax
- (330) 480-3439
- NPI assigned
- Jun 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 35-055220 | OH | |
| Anesthesiology Physician | 207L00000X | 35-055220 | OH | Primary |
Addresses
Primary practice location
1044 Belmont Ave
Youngstown, OH 44504-1006
Mailing address
4135 Boardman Canfield Rd
Suite 101
Canfield, OH 44406-9803
Phone (330) 286-5330
Other practice location 1
667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-8100
Other practice location 2
8401 Market St
Youngstown, OH 44512-6725
Phone (330) 729-2929
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0799677 | Medicaid | OH | |
| 0000026305 | Other | OH | ANTHEM BCBS |
| 11610787 | Other | CAQH | |
| 050033969 | Other | OH | MEDICARE RAILROAD |
| 0672231 | Other | OH | MEDICARE PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3658
Hospital & facility affiliations
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-055220 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Anesthesia | Anesthesiology | Current | Accepting new patients |
| Bel-Park Anesthesia Associates, Inc. | Anesthesiology | Current | Accepting new patients |
| Chander M. Kohli M.D., Inc. | Past | Accepting new patients |
Locations
4135 Boardman Canfield Rd
Ste 101
Canfield, OH 44406
Phone (330) 532-7215
667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929
1031 W Western Reserve Rd
Youngstown, OH 44514
Phone (330) 746-7691
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Youngstown, OH
- NPI 1508813528
-
- Anesthesiology Physician
- Poland, OH
- NPI 1851656854
-
- Specialist
- Youngstown, OH
- NPI 1285637918
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1326074493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4135 BOARDMAN CANFIELD RD",
"address_2": "SUITE 101",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069803",
"telephone_number": "330-286-5330",
"fax_number": "330-286-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041006",
"telephone_number": "330-480-3658",
"fax_number": "330-480-3439"
}
],
"practiceLocations": [
{
"address_1": "667 Eastland Ave SE",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "OH",
"postal_code": "444844503",
"country_code": "US",
"telephone_number": "330-841-8100",
"fax_number": "330-286-5396",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8401 Market St",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445126725",
"country_code": "US",
"telephone_number": "330-729-2929",
"fax_number": "330-286-5396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEAKOSKI",
"first_name": "STEVEN",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OH",
"license": "35-055220",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35-055220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0799677",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "0000026305",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11610787",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "050033969",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0672231",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.