DR. GERALD S SEVACHKO (NPI# 1477551349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477551349 |
| Entity Type | Individual |
| Full Name | DR. GERALD S SEVACHKO |
| Credential | M..D. |
| Practice Address |
8135 Market St Youngstown OH 44512-6244 |
| Practice Telephone | 3307580900 |
| Practice Fax Number | 3307582790 |
| Mailing Telephone | 3307580900 |
| Mailing Fax Number | 3307582790 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2014-07-01 |
| NPI Deactivation Date | 03/17/2006 |
| NPI Reactivation Date | 2006-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 35031136 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0154309 | 05 |
| Street Address |
8135 MARKET ST |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44512-6244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781722 | Tac Zhun Lee | Ophthalmology | 8135 Market St, Youngstown, OH 44512-6244 | 2005-06-23 |
| 1023187630 | Lee Eye Center Inc | Ophthalmology | 8135 Market St, Youngstown, OH 44512-6244 | 2006-11-07 |
| 1013984749 | Colleen T Masternick | Nurse Anesthetist, Certified Registered | 8135 Market St, Youngstown, OH 44512-6244 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265540447 | Gerald S. Sevachko, M.d., Inc. | Ophthalmology | 7422 Southern Blvd, Youngstown, OH 44512-5629 | 2006-08-28 |
| 1023087806 | Sherif I Hanna | Ophthalmology | 3020 Belmont Ave, Youngstown, OH 44505-1846 | 2006-03-15 |
| 1235131913 | Sergul A Erzurum | Ophthalmology | 10 Dutton Dr, Youngstown, OH 44502-1818 | 2005-08-12 |
| 1164428199 | Kong T Oh | Ophthalmology | 8110 Market St, Youngstown, OH 44512-6243 | 2005-06-23 |
| 1790781722 | Tac Zhun Lee | Ophthalmology | 8135 Market St, Youngstown, OH 44512-6244 | 2005-06-23 |
| 1053639161 | Sarah B Smith | Ophthalmology | 10 Dutton Dr, Youngstown, OH 44502-1818 | 2010-05-13 |
| 1023187630 | Lee Eye Center Inc | Ophthalmology | 8135 Market St, Youngstown, OH 44512-6244 | 2006-11-07 |
| 1710063540 | Eye Care Associates, Inc. | Ophthalmology | 3155 Canfield Rd, Youngstown, OH 44511-2880 | 2006-10-27 |
| 1316949803 | John P Aey | Ophthalmology | 10 Dutton Dr, Youngstown, OH 44502-1818 | 2005-08-15 |
| 1134121577 | Richard E Wyszynski | Ophthalmology | 10 Dutton Dr, Youngstown, OH 44502-1818 | 2005-08-15 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.