Individual provider Active NPI

Marta Makuszewski Lavery, MD

  • Surgery Physician
  • Canton, OH
National Provider Identifier
1841642899
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.148498 Issued in OH
Practice address
2600 Tuscarawas St W Ste 600
Canton, OH 44708-4676
Phone
(330) 453-4300
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.148498 OH Primary

Addresses

Primary practice location

2600 Tuscarawas St W Ste 600
Canton, OH 44708-4676

Mailing address

2600 Tuscarawas St W Ste 600
Canton, OH 44708-4676
Phone (330) 453-4300

Other identifiers 1

IdentifierTypeStateIssuer
2210424MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810004233 OH Practitioner - General Surgery 6709267545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Specialty Physicians CorporationGroup PAC ID 3476643479, 67 clinicians

Practice addresses (Care Compare)

2600 Tuscarawas St W
Suite 600
Canton, OH 44708-4676
Phone (330) 453-4300

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
77.5
Promoting interoperability
98
Improvement activities
40
Cost
74.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.148498OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Specialty Physicians Corporation Surgery CurrentSince Aug 31, 2023 Accepting new patients
Aultman Hospital Current Accepting new patients
Ohio Specialty Physicians Corporation CurrentSince Aug 31, 2023 Accepting new patients
Swedish Medical Center Past Accepting new patients

Locations

270 E State St
Ste 120
Alliance, OH 44601
Phone (330) 453-4300

2600 Tuscarawas St W
Ste 600
Canton, OH 44708
Phone (330) 453-4300

2600 Tuscarawas St W
Ste 520
Canton, OH 44708
Phone (330) 454-0702

Interoperability endpoints

  • Direct secure messaging: marta.lavery@direct.aultman.org

Organizations & group practices 4

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 3

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1841642899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W STE 600",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084676",
            "telephone_number": "330-453-4300",
            "fax_number": "330-453-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W STE 600",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084676",
            "telephone_number": "330-453-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVERY",
        "first_name": "MARTA",
        "middle_name": "MAKUSZEWSKI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.148498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210424",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.