Individual
STEVEN L. SHEAKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3658
(330) 480-3439
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-055220
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35-055220
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000026305
ANTHEM BCBS
OH
01
—
050033969
MEDICARE RAILROAD
OH
01
—
0672231
MEDICARE PTAN
OH
05
—
0799677
—
OH
01
—
11610787
CAQH
—
Enumeration date
06/23/2006
Last updated
10/29/2018
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