Healthcare Provider Details

I. General information

NPI: 1396207783
Provider Name (Legal Business Name): HUNTER C SPITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8591 CROSSROAD DR
YOUNGSTOWN OH
44514-4382
US

IV. Provider business mailing address

8591 CROSSROADS DR
YOUNGSTOWN OH
44514-4382
US

V. Phone/Fax

Practice location:
  • Phone: 307-580-5773
  • Fax: 330-533-1772
Mailing address:
  • Phone: 330-758-0577
  • Fax: 330-533-1772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35.140924
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number35.140924
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: