Individual provider Active NPI

Michael Shramowiat, LLC

  • Physical Medicine & Rehabilitation Physician
  • Vienna, WV
National Provider Identifier
1568485233
Registry record updated Jun 12, 2013
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Apr 20, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
17187 Issued in WV
Practice address
1158 46TH St
Vienna, WV 26105-9409
Phone
(304) 295-3131
Fax
(304) 295-0700
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 17187 WV Primary

Addresses

Primary practice location

1158 46TH St
Vienna, WV 26105-9409

Mailing address

1158 46TH St
Vienna, WV 26105-9409
Phone (304) 295-3131

Other identifiers 1

IdentifierTypeStateIssuer
0113659000MedicaidWV

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1568485233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 46TH ST",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261059409",
            "telephone_number": "304-295-3131",
            "fax_number": "304-295-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 46TH ST",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261059409",
            "telephone_number": "304-295-3131",
            "fax_number": "304-295-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRAMOWIAT",
        "first_name": "MICHAEL",
        "credential": "LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WV",
            "license": "17187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113659000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, WV

Sources for this page

Verify at the official NPI Registry.