NPIMap

Individual provider Active NPI

Johnathan Gene Spitnale, DO

  • Family Medicine Physician
  • Defiance, OH
National Provider Identifier
1285197046
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.015726 Issued in OH
Practice address
1400 E 2ND St
Defiance, OH 43512-9905
Phone
(419) 783-3387
NPI assigned
Apr 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 34.015726 OH Primary

Addresses

Primary practice location

1400 E 2ND St
Defiance, OH 43512-9905

Mailing address

1400 E 2ND St
Defiance, OH 43512-9905
Phone (419) 783-3387

Other practice location 1

730 W Market St
Lima, OH 45801-4602
Phone (419) 996-5021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220705003084 OH Practitioner - Family Practice 4082940531 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio Medical University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lima, LLCGroup PAC ID 3375607351, 54 clinicians

Practice addresses (Care Compare)

770 W High St
Suite 450
Lima, OH 45801-3962
Phone (419) 996-5633

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Partners Northern Region LLC CurrentSince Jul 1, 2022 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jul 1, 2022 Accepting new patients
Mercy Health Physicians Lima, LLC Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

100 Progressive Dr
Columbus Grove, OH 45830
Phone (419) 659-6010

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

1426 Scott St
Napoleon, OH 43545
Phone (419) 599-5600

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

Interoperability endpoints

  • Direct secure messaging: jspitnale642977@direct.bsmhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1285197046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435129905",
            "telephone_number": "419-783-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435129905",
            "telephone_number": "419-783-3387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 W Market St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458014602",
            "country_code": "US",
            "telephone_number": "419-996-5021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPITNALE",
        "first_name": "JOHNATHAN",
        "middle_name": "GENE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.015726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

Verify at the official NPI Registry.