Cheryl Chasteen-Seibert, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

50.002039 Issued in OH

Practice address

4160 Little York Rd
Suite 10
Dayton, OH 45414-5800

Phone

(937) 415-9100

NPI assigned

Feb 19, 2007

Last updated

Jul 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia and Pain Management LLC

  dba Pain & Spine Center

  • Pain Medicine (Anesthesiology) Physician
  • Beavercreek, OH
  • NPI 1053600114
  Medicare reassignment
• Anesthesia and Pain Management LLC

  • Multi-Specialty Clinic/Center
  • Beavercreek, OH
  • NPI 1952780132
  NPD (past)
• Springfield Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Springfield, OH
  • NPI 1407810534
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1356485700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713130",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452713130",
            "telephone_number": "937-415-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 LITTLE YORK RD",
            "address_2": "SUITE 10",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145800",
            "telephone_number": "937-415-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTEEN-SEIBERT",
        "first_name": "CHERYL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.002039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105936",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Y Chappell, RN
• Ken Charbat
• Charles D Hanshaw DO Inc
• Charles E. Garrett Jr
• Elizabeth A Charlton, LISW-S
• Angel Chattams
• Atindra N. Chatterji, MD, FACP.
• William Wayne Chattman
• Tri Chau
• Rameswar Chaudhuri, MD

• Surgical Physician Assistant in Dayton, OH
• Providers in Dayton, OH by specialty
• Surgical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.