Individual provider Active NPI

Stephanie A Sedlak, CNM

  • Midwife
  • Barberton, OH
National Provider Identifier
1477868156
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
COA.11677.NM Issued in OH
Practice address
201 5TH St NE
Ste. 6
Barberton, OH 44203-3017
Phone
(330) 745-4748
Fax
(330) 745-4970
NPI assigned
Aug 18, 2010
Last updated
Sep 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.330942-COA1 OH
Midwife 176B00000X COA.11677.NM OH Primary

Addresses

Primary practice location

201 5TH St NE
Ste. 6
Barberton, OH 44203-3017

Mailing address

201 5TH St NE
Ste. 6
Barberton, OH 44203-3017
Phone (330) 745-4748

Other names 1

  • Stephanie A Haase Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110504000507 OH Practitioner - Certified Nurse Midwife (CNM) 3678758794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Oakland College of Medicine and Surgery, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

195 Wadsworth Rd
Wadsworth, OH 44281-9504
Phone (330) 374-1255

3780 Medina Rd
Medina, OH 44256-9312

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN.330942-COA1OHMDRegistered Nurse
COA.11677.NMOHMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Dec 1, 2011 Accepting new patients
Summa Physicians LLC CurrentSince Dec 1, 2011 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

75 Arch St
Ste 501
Akron, OH 44304
Phone (330) 319-9700

75 Arch St
Ste B1
Akron, OH 44304
Phone (330) 375-4844

201 5th St NE
Ste 6
Barberton, OH 44203
Phone (330) 745-3080

1700 Boettler Rd
Ste 225
Green, OH 44685
Phone (330) 899-9696

3780 Medina Rd
Ste 200
Medina, OH 44256
Phone (330) 376-7000

195 Wadsworth Rd
Ste 301
Wadsworth, OH 44281
Phone (330) 331-1810

Interoperability endpoints

  • Direct secure messaging: ssedlak29703@summahealth-direct.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1477868156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 5TH ST NE",
            "address_2": "STE. 6",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033017",
            "telephone_number": "330-745-4748",
            "fax_number": "330-745-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 5TH ST NE",
            "address_2": "STE. 6",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033017",
            "telephone_number": "330-745-4748",
            "fax_number": "330-745-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDLAK",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.330942-COA1",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OH",
            "license": "COA.11677.NM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HAASE",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.