Sharon Sanborn Wagamon, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

57.010919 Issued in OH

Practice address

870 W Main St
Geneva, OH 44041-1219

Phone

(440) 415-0158

Fax

(216) 201-8172

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sharon Lynn Sanborn Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

65.66 of 100Reported as group

Quality

13.82

Promoting interoperability

100

Improvement activities

40

Cost

71.71

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sharon.wagamon@hoaco.ikm.direct-ci.com

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.

• Quest Diagnostics of Pennsylvania Inc

  dba Quest Diagnostics

  • Clinical Medical Laboratory
  • Boardman, OH
  • NPI 1962659656
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1811107683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19151 NELSON PARKMAN RD",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442319559",
            "telephone_number": "440-468-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 W MAIN ST",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411219",
            "telephone_number": "440-415-0158",
            "fax_number": "216-201-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGAMON",
        "first_name": "SHARON",
        "middle_name": "SANBORN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "57.010919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2838317",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uhgenevamedicalcenter@uhhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "870 W Main St",
            "city": "Geneva",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440411219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "SANBORN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Viaquest Healthcare Central
• Village of Geneva on the Lake
• Village of Geneva on the Lake Inc
• Vincent B Cibella
• Jo Ann Volpe, R.PH.
• Walden Residential Centers
• Shauntae Renee Walker, LPCC
• Monica Nicole Ward, LPN
• Jean Nicole White
• Lee White

• Hematology & Oncology Physician in Geneva, OH
• Providers in Geneva, OH by specialty
• Hematology & Oncology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.