Active NPI
Sidney J Steinberger, M.D.
- Otolaryngology Physician
- Fairlawn, OH
National Provider Identifier
1851393953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35052873
- Practice address
- 2708 Crawfis Blvd
Fairlawn, OH 44333-2850 - Phone
- (330) 869-6673
- Fax
- (330) 864-3270
- NPI assigned
- Jun 2, 2005
- Reactivated
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 35052873 | OH | Primary |
| Facial Plastic Surgery Physician | 207YS0123X | 35052873 | OH |
Addresses
Primary practice location
2708 Crawfis Blvd
Fairlawn, OH 44333-2850
Mailing address
2708 Crawfis Blvd
Fairlawn, OH 44333-2850
Phone (330) 869-6673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0606231 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35052873 | OH | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1851393953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 CRAWFIS BLVD",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443332850",
"telephone_number": "330-869-6673",
"fax_number": "330-864-3270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 CRAWFIS BLVD",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443332850",
"telephone_number": "330-869-6673",
"fax_number": "330-864-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEINBERGER",
"first_name": "SIDNEY",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2010-11-08",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "35052873",
"primary": true
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "OH",
"license": "35052873",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0606231",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.