NPIMap

Individual provider Active NPI

John Joseph Stefancin, M.D.

  • Orthopaedic Surgery Physician
  • Youngstown, OH
National Provider Identifier
1770772147
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
090601 Issued in OH
Practice address
1335 Belmont Ave
Youngstown, OH 44504-1135
Phone
(330) 747-2700
NPI assigned
Oct 22, 2007
Last updated
Jan 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 090601 OH Primary

Addresses

Primary practice location

1335 Belmont Ave
Youngstown, OH 44504-1135

Mailing address

7629 Market St Ste 200
Youngstown, OH 44512-6082
Phone (330) 965-4540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080407000375 OH Practitioner - Orthopedic Surgery 9931286507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Ohio, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

1335 Belmont Ave
Youngstown, OH 44504-1135
Phone (330) 747-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement21
Knee replacement48
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
090601OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Orthopaedic Surgery CurrentSince Sep 1, 2012 Accepting new patients
Southwoods Health at Home, LLC PastSince Sep 1, 2021 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

1450 S Canfield Niles Rd
Youngstown, OH 44515
Phone (330) 270-2700

1450 S Canfield Niles Rd
Ste A
Youngstown, OH 44515
Phone (234) 264-8333

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

7629 Market St
Ste 200
Youngstown, OH 44512
Phone (330) 729-8000

7630 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-8000

1335 Belmont Ave
Youngstown, OH 44504
Phone (330) 747-2700

Interoperability endpoints

  • Direct secure messaging: jstefancin35250@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1770772147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 MARKET ST STE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126082",
            "telephone_number": "330-965-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041135",
            "telephone_number": "330-747-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANCIN",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "090601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.