Individual provider Active NPI

Sidney J Steinberger, M.D.

  • Otolaryngology Physician
  • Fairlawn, OH
National Provider Identifier
1851393953
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35052873 Issued in OH
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

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0606231MedicaidOH

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

LicenseStateTypeSpecialty
35052873OHMDOtolaryngology 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.

Verify at the official NPI Registry.