Individual provider Active NPI

Sara Wolosiansky

  • Speech-Language Pathologist
  • North Canton, OH
National Provider Identifier
1821462433
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-3076 Issued in OH
Practice address
4700 Massillon Rd
North Canton, OH 44720-1166
Phone
(330) 896-9119
NPI assigned
Nov 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-3076 OH Primary

Addresses

Primary practice location

4700 Massillon Rd
North Canton, OH 44720-1166

Mailing address

PO Box 667
Green, OH 44232-0667
Phone (330) 896-9119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160106002633 OH Practitioner - Qualified Speech Language Pathologist 2961704085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4700 Massillon Rd
North Canton, OH 44720-1166
Phone (330) 896-9119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-3076OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Speech Services, Inc Speech-Language Pathologist CurrentSince Dec 21, 2015 Accepting new patients
Walter Wolosiansky Past Accepting new patients

Locations

4700 Massillon Rd
Green, OH 44720
Phone (330) 896-9119

Organizations & group practices 2

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": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1821462433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667",
            "city": "GREEN",
            "state": "OH",
            "postal_code": "442320667",
            "telephone_number": "330-896-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 MASSILLON RD",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201166",
            "telephone_number": "330-896-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOSIANSKY",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-3076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.