Individual provider Active NPI

Erika L Sobolewski, D.O.

  • Family Medicine Physician
  • Barberton, OH
National Provider Identifier
1407967284
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-00-7142-S Issued in OH
Practice address
62 Conservatory Dr
Suite B
Barberton, OH 44203-9002
Phone
(330) 753-2400
Fax
(330) 634-1329
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-00-7142-S OH Primary

Addresses

Primary practice location

62 Conservatory Dr
Suite B
Barberton, OH 44203-9002

Mailing address

3515 Massillon Rd
Suite 300
Uniontown, OH 44685-6400
Phone (330) 899-9350

Other identifiers 3

IdentifierTypeStateIssuer
SO4045581OtherOHMEDICARE ID
4045583OtherOHMEDICARE ID
2253029MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Children'S Hospital Current Accepting new patients
Pinnacle Treatment Centers Oh-III, LLC Past Accepting new patients
Diamond Family Practice, LLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: esobolewski95957@direct.chmca.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1407967284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD",
            "address_2": "SUITE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446856400",
            "telephone_number": "330-899-9350",
            "fax_number": "330-634-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CONSERVATORY DR",
            "address_2": "SUITE B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442039002",
            "telephone_number": "330-753-2400",
            "fax_number": "330-634-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOLEWSKI",
        "first_name": "ERIKA",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-7142-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "SO4045581",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "4045583",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2253029",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.