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NPI Code Detail

MEDICARE: THEODORE SPIRTOS MD

MEDICARE: THEODORE SPIRTOS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician35.045256OH
2207P00000XEmergency Medicine Physician35.045256OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3930006661OTHEROHMEDICARE RR-GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1942460636230OTHEROHCARESOURCE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740221589
Entity Type Code : Individual
Provider Name (Legal Business Name) : THEODORE SPIRTOS MD
Provider Business Mailing Address
First Line : 527 N MERIDIAN RD
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44509-1227
Country : US
Telephone Number : 330-797-0070
Fax Number : 330-797-9146
Provider Business Practice Location Address
First Line : 527 N MERIDIAN RD
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44509-1227
Country : US
Telephone Number : 330-797-0070
Fax Number : 330-797-9146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 08/25/2022

Similar Medicare Providers

1336003417 — ADRIENNE M WHITT CNP, RN
Practice Location Address:
527 N MERIDIAN RD
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1720899263 — MICHAEL CARNEY CDCA, QMHS
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Practice Location Address:
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Practice Fax: 330-799-3280
1992766638 — DR. LUIS E VILLAPLANA MD
Practice Location Address:
527 N MERIDIAN RD
YOUNGSTOWN, OH
44509-1227
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1356307235 — MERIDIAN HEALTHCARE
Practice Location Address:
527 N MERIDIAN RD
YOUNGSTOWN, OH
44509-1227
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1932141587 — MR. GERALD ANASTASIA LISW
Practice Location Address:
527 N MERIDIAN RD
YOUNGSTOWN, OH
44509-1227
Practice Phone: 330-797-0070
Practice Fax: 330-797-9146

Directions to “ THEODORE SPIRTOS MD” Practice Location

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