Active NPI
Robert J Spears, PAC
- Physician Assistant
- Lima, OH
National Provider Identifier
1326087958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-09249
- Practice address
- 730 W Market St
Lima, OH 45801-4602 - Phone
- (419) 227-3361
- Fax
- (419) 226-9826
- NPI assigned
- Jun 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-09249 | NC | Primary |
| Physician Assistant | 363A00000X | 50001616 | OH |
Addresses
Primary practice location
730 W Market St
Lima, OH 45801-4602
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-09249 | NC | MD | Physician Assistant |
| 50001616 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Lake Medical, PLLC | Physician Assistant | Current | Accepting new patients |
| North Carolina Center for Weight Management | Physician Assistant | Past | Accepting new patients |
| Dr. Safadi & Associates, Inc | Past | Accepting new patients | |
| Galion Emergency Physicians Inc | Past | Accepting new patients |
Locations
181 Mittie Haddock Dr
Cameron, NC 28326
Phone (919) 842-5566
1370 Nc 24-87
Cameron, NC 28326
Phone (910) 808-1762
Organizations & group practices 4
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.
-
- Allergy Physician
- Findlay, OH
- NPI 1558549246
-
- Emergency Medicine Physician
- Galion, OH
- NPI 1457391187
-
- Physician Assistant
- Cameron, NC
- NPI 1134695026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1326087958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "800-875-0136",
"fax_number": "937-619-4231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 W MARKET ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458014602",
"telephone_number": "419-227-3361",
"fax_number": "419-226-9826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-09249",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50001616",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.