NPIMap

Individual provider Active NPI

Stephanie Mesko, D.O.

  • Family Medicine Physician
  • Wadsworth, OH
National Provider Identifier
1780926881
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.012235 Issued in OH
Practice address
5133 Ridge Rd Ste 1
Wadsworth, OH 44281-8078
Phone
(330) 239-4455
Fax
(330) 239-4456
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.012235 OH Primary

Addresses

Primary practice location

5133 Ridge Rd Ste 1
Wadsworth, OH 44281-8078

Mailing address

5133 Ridge Rd Ste 1
Wadsworth, OH 44281-8078
Phone (330) 239-4455

Other identifiers 1

IdentifierTypeStateIssuer
P01693656OtherOHPTAN

Other names 1

  • Stephanie Sielski Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephaniemesko@uhps.allscriptsdirect.net

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
I20160803001725 OH Practitioner - Family Practice 4688979545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

158 W Main Rd
Conneaut, OH 44030-2039

5133 Ridge Rd
Wadsworth, OH 44281-8078

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Family Medicine CurrentSince Apr 9, 2019 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Apr 9, 2019 Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
Fairfield Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

5133 Ridge Rd
Ste 1
Wadsworth, OH 44281
Phone (330) 234-4455

Interoperability endpoints

  • Direct secure messaging: smesko21255@ehrdirect.uhhospitals.org

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1780926881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 RIDGE RD STE 1",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818078",
            "telephone_number": "330-239-4455",
            "fax_number": "330-239-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 RIDGE RD STE 1",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818078",
            "telephone_number": "330-239-4455",
            "fax_number": "330-239-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESKO",
        "first_name": "STEPHANIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2020-12-13",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.012235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "P01693656",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephaniemesko@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5133 Ridge Rd Ste 1",
            "city": "Wadsworth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442818078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SIELSKI",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wadsworth, OH

Sources for this page

Verify at the official NPI Registry.