Aleksandar Spasic

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.004233 Issued in OH

Practice address

3700 Kolbe Rd
Lorain, OH 44053-1611

Phone

(440) 960-4000

NPI assigned

Feb 4, 2015

Last updated

Feb 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Fisher-Titus Medical Center

  • General Acute Care Hospital
  • Norwalk, OH
  • NPI 1992738959
  NPD
• H.B. Magruder Memorial Hospital

  dba Magruder Hospital

  • Critical Access Hospital
  • Port Clinton, OH
  • NPI 1922079532
  NPD
• Emergency Medical Services of Lorain, Inc.

  • Emergency Medicine Physician
  • Lorain, OH
  • NPI 1043455785
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1265822704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 AQUA MARINE BLVD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122638",
            "telephone_number": "440-668-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 KOLBE RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531611",
            "telephone_number": "440-960-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPASIC",
        "first_name": "ALEKSANDAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Soptelean, FNP-C
• Josue Soto
• Kaylyn Mae Soto, LSW
• Southside Pharmacy of Lorain Inc
• Kristine Sovich
• Michael Anthony Spataro, RN
• Spectrum Consulting Services
• Sharon Rochelle Spencer
• Jacqueline Spenzer, LPC
• Amy Spiegelberg

• Physician Assistant in Lorain, OH
• Providers in Lorain, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.