Individual provider Active NPI

Joseph P Sitarik, DO

  • General Practice Physician
  • East Liverpool, OH
National Provider Identifier
1669543906
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34004441 Issued in OH
Practice address
16844 Saint Clair Ave
East Liverpool, OH 43920-4277
Phone
(330) 386-6800
Fax
(330) 386-4219
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 34004441 OH Primary

Addresses

Primary practice location

16844 Saint Clair Ave
East Liverpool, OH 43920-4277

Mailing address

PO Box 2774
East Liverpool, OH 43920-0774
Phone (330) 386-6800

Other identifiers 3

IdentifierTypeStateIssuer
000000113604OtherOHANTHEM
0764776MedicaidOH
0125021000MedicaidWV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000033 OH Practitioner - Family Practice 9830120450 Reassigns benefits to 2 organizations

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34004441OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flying High Inc. CurrentSince Jan 1, 2023 Accepting new patients
Compass Family and Community Services Past Accepting new patients

Locations

6 W Federal St
Ste 701
Youngstown, OH 44503
Phone (330) 797-3995

6 Federal Plaza Central
Ste 701
Youngstown, OH 44503
Phone (330) 797-3995

Organizations & group practices 3

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1669543906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2774",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439200774",
            "telephone_number": "330-386-6800",
            "fax_number": "330-386-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16844 SAINT CLAIR AVE",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439204277",
            "telephone_number": "330-386-6800",
            "fax_number": "330-386-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITARIK",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "34004441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000113604",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0764776",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125021000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.