Sebastian Francis Cruz-Schiavone, MD
Individual provider Active NPI Surgery Physician · Wallingford, PA
NPI 1992281471 · NPPES record last updated Dec 23, 2024
Key facts
- NPI
- 1992281471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 464585 (PA)
- Practice address
- 739 Windsor PL
Wallingford, PA 19086-6730 - Phone
- (267) 608-5773
- NPI assigned
- Jul 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Geskin Medical LLC
Practice addresses (Care Compare)
1633 Route 51
Suite 105
Jefferson Hills, PA 15025-3652
Phone (412) 775-3019
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 35 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in PA, WV, OH
- 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 |
|---|---|---|---|---|
| I20180914000437 | PA | Practitioner - General Surgery | 5799035671 | Reassigns benefits to 2 organizations |
| I20190103003296 | WV | Practitioner - General Surgery | 5799035671 | Reassigns benefits to 1 organization |
| I20190215002255 | OH | Practitioner - General Surgery | 5799035671 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 464585 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Consultants LLC | Multi-Specialty | Current |
Accepting new patients |
| Lake Effect Health | Multi-Specialty | Current | Accepting new patients |
| Encore Clinical Services LLC | Multi-Specialty | Current |
Accepting new patients |
| Wissam Khoury DPM LLC | Multi-Specialty | Current |
Accepting new patients |
Locations
23250 Chagrin Blvd
Ste 150
Beachwood, OH 44122
Phone (216) 402-0027
2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444
12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750
6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | 35.135306 | OH | |
| Surgery Physician | 208600000X | 28649 | WV | |
| Surgery Physician |
208600000X | 464585 | PA | Yes |
Addresses
Primary practice location
739 Windsor PL
Wallingford, PA 19086-6730
Mailing address
739 Windsor PL
Wallingford, PA 19086-6730
Phone (267) 608-5773
Other providers in Wallingford, PA
- Joseph P Cheruka
- Heather L. Cole
- Communities of Don Guanella and Divine Providence
- James Connell Jr.
- Lisa Marie Costantini
- Jay Hulbert Dahlke
- Delco Speech Center LLC
- Rajeshkumar R Desai
- Barbara Didenko
- Dr. O. Family Chiropractic
All providers in Wallingford, PA · Surgery 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 Dec 23, 2024. 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.