Active NPI
Sherman Spatz, DMD
- Oral & Maxillofacial Surgery (D.M.D.)
- Washington, PA
National Provider Identifier
1023044922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- DS014362L
- Practice address
- 90 West Chestnut St
Suite 125LL
Washington, PA 15301 - Phone
- (724) 222-3422
- Fax
- (724) 222-8391
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DS014362L | PA | Primary |
Addresses
Primary practice location
90 West Chestnut St
Suite 125LL
Washington, PA 15301
Mailing address
90 West Chestnut St
Suite 125LL
Washington, PA 15301
Phone (724) 222-3422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005215630006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1023044922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 WEST CHESTNUT ST",
"address_2": "SUITE 125LL",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "15301",
"telephone_number": "724-222-3422",
"fax_number": "724-222-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 WEST CHESTNUT ST",
"address_2": "SUITE 125LL",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "15301",
"telephone_number": "724-222-3422",
"fax_number": "724-222-8391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPATZ",
"first_name": "SHERMAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "PA",
"license": "DS014362L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005215630006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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- Southwestern Nephrology Inc
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- Ashley Taylor Spahn
- Specialty Periodontal Care of Washington PA LLC
- Monica Speicher, MD
- Christina N. Spiegel, PA-C
- Rachel Spinnenweber
- Vasilios N Spyropoulos, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.