Individual
TOM WIRTH BARTSOKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 WAYNE ST, SUITE 100, MARIETTA, OH 45750-3300
(740) 374-6030
(740) 374-6029
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35.052565
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0653985
—
OH
05
—
3810028966
—
WV
01
—
4272541
MEDICARE ID
OH
01
—
P01604257
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
10/03/2005
Last updated
03/24/2016
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