Yana Shumyatcher, MD
Individual provider Active NPI Specialist · Euclid, OH
NPI 1497958706 · NPPES record last updated Nov 18, 2011
Key facts
- NPI
- 1497958706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 35090315 (OH)
- Practice address
- 18901 Lake Shore Blvd
Euclid, OH 44119-1078 - Phone
- (216) 692-8644
- Fax
- (216) 692-8704
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cleveland Clinic
Practice addresses (Care Compare)
6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
- Cleveland Clinic
- Euclid Hospital
- Cleveland Clinic Rehabilitation Hospitals LLC
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 |
|---|---|---|---|---|
| I20110929000674 | OH | Practitioner - Physical Medicine and Rehabilitation | 0749451433 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35090315 | OH | MD | Specialist |
| 57006732 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Cleveland Clinic Rehabilitation Hospitals, LLC | Past | Accepting new patients |
Locations
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000
6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520
Interoperability endpoints
- yshumyatcher145142@direct.ccf.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 57006732 | OH | |
| Specialist | 174400000X | 35090315 | OH | Yes |
Addresses
Primary practice location
18901 Lake Shore Blvd
Euclid, OH 44119-1078
Mailing address
18901 Lake Shore Blvd
Euclid, OH 44119-1078
Phone (216) 692-8644
NPI Registry JSON
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1497958706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18901 LAKE SHORE BLVD",
"city": "EUCLID",
"state": "OH",
"postal_code": "441191078",
"telephone_number": "216-692-8644",
"fax_number": "216-692-8704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18901 LAKE SHORE BLVD",
"city": "EUCLID",
"state": "OH",
"postal_code": "441191078",
"telephone_number": "216-692-8644",
"fax_number": "216-692-8704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMYATCHER",
"first_name": "YANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "57006732",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35090315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2011. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.