Active NPI
Sean Robert Nischwitz
- Physician Assistant
- Kent, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.007858
- Practice address
- 411 Devon PL
Kent, OH 44240-6480 - Phone
- (330) 677-7681
- NPI assigned
- Oct 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.007858 | OH | Primary |
Addresses
Primary practice location
411 Devon PL
Kent, OH 44240-6480
Mailing address
78 Hahns Way
Wadsworth, OH 44281-8499
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 E Main St
Suite 3
Kent, OH 44240-2815
Phone (330) 440-0360
16601 Chagrin Blvd
Shaker Heights, OH 44120-3719
Phone (216) 727-2010
2209 Crocker Rd
Suite D
Westlake, OH 44145-6727
Phone (440) 249-6060
2700 E Aurora Rd
Suite F
Twinsburg, OH 44087-6818
Phone (330) 476-5510
27520 Chagrin Blvd
Beachwood, OH 44122-4424
Phone (440) 809-8810
3909 Orange PL
Suite 2100
Beachwood, OH 44122-8400
Phone (440) 809-8810
5901 E Royalton Rd
Suite 1400B
Broadview Heights, OH 44147-3532
Phone (440) 499-5900
6140 Som Ctr Rd
Solon, OH 44139-2333
Phone (440) 578-0845
716 N Court St
Medina, OH 44256-1748
Phone (330) 426-8700
9449 State Route 14
Streetsboro, OH 44241-5225
Phone (330) 227-6640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.007858 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Hospitals Urgent Care, LLC | Current | Accepting new patients |
Locations
3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
Interoperability endpoints
- snischwitz431282@ehrdirect.uhhospitals.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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Beachwood, OH
- NPI 1124765052
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Orthopaedic Surgery Physician
- Sheffield Village, OH
- NPI 1114054384
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1487379293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 HAHNS WAY",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442818499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 DEVON PL",
"city": "KENT",
"state": "OH",
"postal_code": "442406480",
"telephone_number": "330-677-7681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISCHWITZ",
"first_name": "SEAN",
"middle_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-05",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.007858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.