Steven A Chismar, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Dover, OH
NPI 1790775047 · NPPES record last updated Mar 24, 2020
Key facts
- NPI
- 1790775047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 35-07-9203 (OH)
- Practice address
- 200 Medical Park Drive A2
Dover, OH 44622 - Phone
- (330) 343-1200
- Fax
- (330) 343-1201
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Northeastern Ohio University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
200 Medical Park Dr
Dover, OH 44622-2074
Phone (330) 343-1200
Hospital & facility affiliations
- Union Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060124000152 | OH | Practitioner - Obstetrics/Gynecology | 8729002209 | Practice locations: Dover, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Union Hospital Association | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35-07-9203 | OH | Yes |
Addresses
Primary practice location
200 Medical Park Drive A2
Dover, OH 44622
Mailing address
200 Medical Park Drive A2
Dover, OH 44622
Phone (330) 343-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2242577 | Medicaid | OH |
Other providers in Dover, OH
- Laurel Ann Carroll
- Mary Elizabeth Carter
- Amber M Caterina
- Centers for Comprehensive Pain Care, Inc.
- Cherrytree RX LLC
- Chloe M Chisnell
- Staci Ann Christner
- City of Dover
- Michael Civiello
- Elliott Clark
All providers in Dover, OH · Obstetrics & Gynecology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.