Active NPI
Paul E Lesnoski, D.O.
- Family Medicine Physician
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34005094
- Practice address
- 901 Trailwood Dr
Youngstown, OH 44512-5008 - Phone
- (330) 726-3000
- Fax
- (330) 726-2612
- NPI assigned
- Jul 3, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34005094 | OH | Primary |
Addresses
Primary practice location
901 Trailwood Dr
Youngstown, OH 44512-5008
Mailing address
901 Trailwood Dr
Youngstown, OH 44512-5008
Phone (330) 726-3000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0877163 | Medicaid | OH | |
| 78240 | Other | OH | HEALTH ASSURANCE |
| Q005055 | Other | OH | HOMETOWN |
| 000000243202 | Other | OH | ANTHEM BC/BS |
| 101710 | Other | OH | UNITED HEALTHCARE |
| 341341025033 | Other | OH | CARESOURCE |
| Z05094 | Other | OH | SUMMACARE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 Trailwood Dr
Youngstown, OH 44512-5008
Phone (330) 726-3000
Hospital & facility affiliations
- Surgical Hospital at Southwoods
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 71.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.36
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005094 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Health Services, LLC | Family Medicine | Current | Accepting new patients |
| The Surgery Center at Southwoods, LLC | Past | Accepting new patients |
Locations
100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828
901 Trailwood Dr
Youngstown, OH 44512
Phone (330) 726-3000
7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480
Organizations & group practices 2
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.
-
dba Southwoods Physician Services
- Plastic Surgery Physician
- Youngstown, OH
- NPI 1588925457
Family Medicine
-
dba The Surgical Hospital at Southwoods
- Special Hospital
- Youngstown, OH
- NPI 1740398890
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health St Elizabeth Youngstown Hospital
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
dba Mercy Health St Elizabeth Boardman Hospital
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
-
dba Mercy Health Youngstown Laboratory
- Clinical Medical Laboratory
- Youngstown, OH
- NPI 1831600295
Hospital
-
dba The Surgical Hospital at Southwoods
- Special Hospital
- Youngstown, OH
- NPI 1740398890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1639109994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 TRAILWOOD DR",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445125008",
"telephone_number": "330-726-3000",
"fax_number": "330-726-2612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 TRAILWOOD DR",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445125008",
"telephone_number": "330-726-3000",
"fax_number": "330-726-2612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESNOSKI",
"first_name": "PAUL",
"middle_name": "E",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34005094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0877163",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "78240",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOMETOWN",
"identifier": "Q005055",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000243202",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "101710",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "341341025033",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE",
"identifier": "Z05094",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.