Individual provider Active NPI

Stephanie Raynish, M.D

  • Family Medicine Physician
  • Salem, OH
National Provider Identifier
1992190102
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-133878 Issued in OH
Practice address
2020 E State St Ste C
Salem, OH 44460-2479
Phone
(330) 332-7807
Fax
(330) 332-7809
NPI assigned
Apr 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Family Medicine Physician 207Q00000X 35-133878 OH Primary

Addresses

Primary practice location

2020 E State St Ste C
Salem, OH 44460-2479

Mailing address

2020 E State St Ste C
Salem, OH 44460-2479
Phone (330) 332-7807

Other names 1

  • Stephanie Gasper Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Stephanie.Raynish@salemregional.medicity.net

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
I20180810001884 OH Practitioner - Family Practice 7113223512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCH Professional CorporationGroup PAC ID 0941291868, 59 clinicians

Practice addresses (Care Compare)

2020 E State St
Suite C
Salem, OH 44460-2479
Phone (330) 332-7807

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as apm
Quality
69.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-133878OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCH Professional Corporation Family Medicine CurrentSince Aug 6, 2018 Accepting new patients

Locations

750 E Park Ave
Columbiana, OH 44408
Phone (330) 337-3332

2525 Southeast Blvd
Salem, OH 44460
Phone (330) 332-7524

2020 E State St
Ste C
Salem, OH 44460
Phone (330) 332-7807

Organizations & group practices 1

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 2

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1992190102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E STATE ST STE C",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602479",
            "telephone_number": "330-332-7807",
            "fax_number": "330-332-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E STATE ST STE C",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602479",
            "telephone_number": "330-332-7807",
            "fax_number": "330-332-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNISH",
        "first_name": "STEPHANIE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-133878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stephanie.Raynish@salemregional.medicity.net",
            "affiliation": "N",
            "address_1": "2020 E State St Ste C",
            "city": "Salem",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444602479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GASPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OH

Sources for this page

Verify at the official NPI Registry.