NPIMap

Individual provider Active NPI

Krzysztof Christopher Stegawski, M.D.

  • Clinic/Center
  • Westlake, OH
National Provider Identifier
1598847758
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
35044751 Issued in OH
Practice address
28515 E Brockway Dr
Westlake, OH 44145-5245
Phone
(440) 781-6240
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 35044751 OH Primary
Anesthesiology Physician 207L00000X 29743 IN

Addresses

Primary practice location

28515 E Brockway Dr
Westlake, OH 44145-5245

Mailing address

28515 E Brockway Dr
Westlake, OH 44145-5245
Phone (440) 781-6240

Other identifiers 1

IdentifierTypeStateIssuer
0482722MedicaidOH

Other names 1

  • Christopher Stegawski Professional name

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 Medicine

State licenses

LicenseStateTypeSpecialty
29743INMDAnesthesiology Physician
35044751OHMDClinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Anesthesia Clinic/Center Past Accepting new patients
Buckeye Anesthesia Services & Consultants LLC Anesthesiology Past Accepting new patients
Millenium Anesthesia LLC Anesthesiology Past Accepting new patients
Clinic Physician Services Co. LLC Anesthesiology Past Accepting new patients
Anesthesiology Services Network LTD Anesthesiology Past Accepting new patients

Organizations & group practices 5

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1598847758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28515 E BROCKWAY DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455245",
            "telephone_number": "440-781-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28515 E BROCKWAY DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455245",
            "telephone_number": "440-781-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGAWSKI",
        "first_name": "KRZYSZTOF",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "35044751",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "29743",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0482722",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "STEGAWSKI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.