Organization
BERISLAV SPAHIJA,M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERISLAV SPAHIJA M.D. (PRESIDENT)
(330) 382-1070
Entity
Organization
Contact information
Practice address
16687 SAINT CLAIR AVE, SUITE 201, EAST LIVERPOOL, OH 43920-9401
(330) 382-1070
(330) 382-0916
Mailing address
16687 SAINT CLAIR AVE, SUITE 201, EAST LIVERPOOL, OH 43920-9401
(330) 382-1070
(330) 382-0916
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
3580889
OH
2084N0400X
Neurology Physician
Primary
35077285
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000142099
ANTHEM
OH
01
—
000520339
BC BS PA
—
01
—
0500696
UNTED HEALTHCARE
—
01
—
1047518
WV COMP
—
01
—
130021621
RAILROAD MEDICARE
—
01
—
18076961300
MMOH
—
05
—
2150390
—
OH
01
—
218165
UPMC
—
01
—
2260699
AETNA
—
01
—
26386
INDIANA HEALTH PLAN
—
05
—
6120037-000
—
WV
01
—
774691
BS PA
—
01
—
95840
QUALCHOICE
—
01
—
P77285
HEALTH PLAN
—
Enumeration date
11/21/2006
Last updated
07/01/2008
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