Active NPI
Mirjana Spahija, MD
- Physical Medicine & Rehabilitation Physician
- East Liverpool, OH
National Provider Identifier
1114955614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 3580889
- Practice address
- 16687 St Clair Ave
Ste 201
East Liverpool, OH 43928 - Phone
- (330) 382-1070
- Fax
- (330) 382-0916
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 3580889 | OH | Primary |
Addresses
Primary practice location
16687 St Clair Ave
Ste 201
East Liverpool, OH 43928
Mailing address
16687 St Clair Ave
Ste 201
East Liverpool, OH 43928
Phone (330) 382-1070
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32001592000 | Other | OH COMP | |
| 7780368 | Other | AETNA | |
| 2324274 | Medicaid | OH | |
| 2745739 | Medicaid | OH | |
| 1808339000 | Other | WV WELFARE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3580889 | OH | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berislav Spahija,M.D., Inc. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurology Physician
- East Liverpool, OH
- NPI 1609941392
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1114955614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16687 ST CLAIR AVE",
"address_2": "STE 201",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "43928",
"telephone_number": "330-382-1070",
"fax_number": "330-382-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16687 ST CLAIR AVE",
"address_2": "STE 201",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "43928",
"telephone_number": "330-382-1070",
"fax_number": "330-382-0916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAHIJA",
"first_name": "MIRJANA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "3580889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH COMP",
"identifier": "32001592000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7780368",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2324274",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2745739",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV WELFARE",
"identifier": "1808339000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Liverpool, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.