Individual
THEODORE SPIRTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
(330) 797-9146
Mailing address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
(330) 797-9146
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.045256
OH
208D00000X
General Practice Physician
35.045256
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0673123
—
OH
01
—
930006661
MEDICARE RR-GA
OH
01
—
942460636230
CARESOURCE
OH
Enumeration date
06/10/2006
Last updated
08/25/2022
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