Danielle Spatholt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003717 Issued in OH

Practice address

16712 Pearl Rd
Strongsville, OH 44136-6049

Phone

(440) 238-0360

Fax

(440) 238-8835

NPI assigned

Feb 26, 2013

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatologists of Southwestern Ohio, LLC.

  • Dermatology Physician
  • Dayton, OH
  • NPI 1801819883

  OH

  Medicare reassignment Care Compare group
• Fairview Hospital

  • Obstetrics & Gynecology Physician
  • Cleveland, OH
  • NPI 1407953706

  OH

  Medicare reassignment
• Dermatology Partners, Inc.

  • Dermatology Physician
  • Sandusky, OH
  • NPI 1437226636
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southwest General Health Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1154353993

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatologists of Southwestern Ohio, LLC 116 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dspatholt@dermswohio.emadirect.md

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2024.

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1033459151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16712 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366049",
            "telephone_number": "440-238-0360",
            "fax_number": "440-238-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16712 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366049",
            "telephone_number": "440-238-0360",
            "fax_number": "440-238-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATHOLT",
        "first_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "003717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest General Health Center
• Southwest General Medical Group, Inc.
• Southwest General Medical Group, Inc.
• Southwest General Medical Group, Inc.
• Danielle Spangler, LPC
• Spectera
• Sally Speer
• Spencer Price - Robinson & Co., LLC
• Degra Spencer
• Xavier Aubrey Spencer, IMFT

• All providers in Strongsville, OH
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.