Stanislav V Byshenko, MD
Individual provider Active NPI Internal Medicine Physician · Sharon, PA
NPI 1891088415 · NPPES record last updated Aug 14, 2025
Key facts
- NPI
- 1891088415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD446235 (PA)
- Practice address
- 92 W Connelly Blvd
Sharon, PA 16146-1754 - Phone
- (724) 347-5529
- NPI assigned
- May 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sharon Community Health Center
Primary Care Services
Practice addresses (Care Compare)
90 W Connelly Blvd
Sharon, PA 16146-1754
Phone (724) 347-2429
901 Water St
Meadville, PA 16335-3434
Phone (814) 333-5711
92 W Connelly Blvd
Sharon, PA 16146-1754
Phone (724) 347-5529
94 W Connelly Blvd
Sharon, PA 16146-1754
Phone (724) 347-3063
Hospital & facility affiliations
- Amedisys Home Health
- Upmc Horizon
- Meadville Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120828000406 | PA | Practitioner - Internal Medicine | 7113174061 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Services | Internal Medicine | Current |
Accepting new patients |
| Sharon Community Health Center | Current |
Accepting new patients | |
| Meadville Physician Services | Internal Medicine | Past | Accepting new patients |
Locations
12387 Conneaut Lake Rd
Conneaut Lake, PA 16316
Phone (814) 373-4298
2425 Garden Way
Ste 102
Hermitage, PA 16148
Phone (724) 347-0700
901 Water St
Meadville, PA 16335
Phone (814) 333-5711
1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728
92 W Connelly Blvd
Sharon, PA 16146
Phone (724) 347-5529
94 W Connelly Blvd
Sharon, PA 16146
Phone (724) 347-2429
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD446235 | PA | Yes |
Addresses
Primary practice location
92 W Connelly Blvd
Sharon, PA 16146-1754
Mailing address
92 W Connelly Blvd
Sharon, PA 16146-1754
Phone (724) 347-5529
Other practice location 1
2425 Garden Way
Hermitage, PA 16148-5215
Phone (724) 981-1777
Other practice location 2
901 Water St
Meadville, PA 16335-3434
Phone (814) 333-5711
NPI Registry JSON
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1891088415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 W CONNELLY BLVD",
"city": "SHARON",
"state": "PA",
"postal_code": "161461754",
"telephone_number": "724-347-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 W CONNELLY BLVD",
"city": "SHARON",
"state": "PA",
"postal_code": "161461754",
"telephone_number": "724-347-5529"
}
],
"practiceLocations": [
{
"address_1": "2425 Garden Way",
"address_purpose": "LOCATION",
"city": "Hermitage",
"state": "PA",
"postal_code": "161485215",
"country_code": "US",
"telephone_number": "724-981-1777",
"fax_number": "724-342-2879",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 Water St",
"address_purpose": "LOCATION",
"city": "Meadville",
"state": "PA",
"postal_code": "163353434",
"country_code": "US",
"telephone_number": "814-333-5711",
"fax_number": "814-333-3434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BYSHENKO",
"first_name": "STANISLAV",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-16",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD446235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sharon, PA
- Charitylyn Bradley
- Christopher T Breznai
- Christine L Buckwalter
- Raymond Edward Burckart III
- Daniel Burick
- Hannah Lynne Calvin
- Ryan Thomas Cannell
- Christian Carbonell
- Samantha Carpenter
- Lindsay Cassella
All providers in Sharon, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.