Mario M Sertich, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

046671 Issued in OH

Practice address

5319 Hoag Dr
Suite 100
Sheffield Village, OH 44035-1494

Phone

(440) 930-6015

Fax

(440) 930-6094

NPI assigned

May 2, 2006

Last updated

Nov 3, 2009By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Neurospinecare, Inc.

  • Interventional Pain Medicine Physician
  • Sheffield Village, OH
  • NPI 1790743540
  Authorized official Same address or phone

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1386602092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 HOAG DR",
            "address_2": "SUITE 100",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351494",
            "telephone_number": "440-930-6015",
            "fax_number": "440-930-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 HOAG DR",
            "address_2": "SUITE 100",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351494",
            "telephone_number": "440-930-6015",
            "fax_number": "440-930-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERTICH",
        "first_name": "MARIO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "046671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0464779",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Schwartz, DDS
• William M Schwartz, D.D.S.
• William Marvin Schwartz III, DMD
• Scott Nagy DDS LTD (Nagy Family Dental Group)
• Michael Leroy Seng, M.D.
• Sheffield Academy
• Sheffield Foot and Ankle LLC
• Sheffield-Sheffield Lake CSD
• Sandeep M Sheth, M.D.
• Ahmad Saad Siddiqi, MD

• Neurological Surgery Physician in Sheffield Village, OH
• Providers in Sheffield Village, OH by specialty
• Neurological Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.