Scott Benedict Beichner, DO
Individual provider Active NPI Pediatrics Physician · Boardman, OH
NPI 1376531434 · NPPES record last updated Oct 8, 2014
Key facts
- NPI
- 1376531434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 34.006950 (OH)
- Practice address
- 6505 Market St
Boardman, OH 44512-3457 - Phone
- (330) 746-8100
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050914001376 | OH | Practitioner - Pediatric Medicine | 0042243503 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Pediatrics | Current |
Accepting new patients |
| Children'S Hospital Medical Center of Akron | Current |
Accepting new patients | |
| Cleveland Clinic Health System - East Region | Past | Accepting new patients |
Locations
1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050
6505 Market St
Youngstown, OH 44512
Phone (330) 726-2100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34.006950 | OH | Yes |
Addresses
Primary practice location
6505 Market St
Boardman, OH 44512-3457
Mailing address
1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 746-8100
Other providers in Boardman, OH
- Jessica Lynn Beck
- Melanie Beebe
- Beeghly Nursing LLC
- Beeghly Oaks Operating, LLC
- Stephen Michael Begezda
- Jessica Beil
- Linda Sue Beilstein
- Deanna Marie Bellville
- Michele Benedict
- Julie Berg
All providers in Boardman, OH · Pediatrics Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.