Organization Active NPI

Robert G. Spratt, M.D. Inc.

  • Internal Medicine Physician
  • Youngstown, OH
National Provider Identifier
1457530487
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-04-9573S Issued in OH
Legal business name
ROBERT G. SPRATT, M.D. INC.
Practice address
231 E Midlothian Blvd
Youngstown, OH 44507-1947
Phone
(300) 788-4097
Fax
(330) 788-4061
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Dr. Robert G Spratt, M.D.
Title
President
Phone
(330) 788-4097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35-04-9573S OH Primary

Addresses

Primary practice location

231 E Midlothian Blvd
Youngstown, OH 44507-1947

Mailing address

231 E Midlothian Blvd
Youngstown, OH 44507-1947
Phone (300) 788-4097

Other identifiers 6

IdentifierTypeStateIssuer
9200101OtherOHPTAN
2342996MedicaidOH
000000126547OtherOHANTHEM BLUE CROSS
DN5046OtherOHRAILROAD MEDICARE GROUP
080004716OtherOHRAILROAD MEDICARE
9200101OtherOHMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

231 E Midlothian Blvd
Youngstown, OH 44507
Phone (330) 788-4097

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1457530487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 E MIDLOTHIAN BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071947",
            "telephone_number": "300-788-4097",
            "fax_number": "330-788-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E MIDLOTHIAN BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071947",
            "telephone_number": "300-788-4097",
            "fax_number": "330-788-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G. SPRATT, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "SPRATT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-788-4097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-04-9573S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "9200101",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342996",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000126547",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DN5046",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080004716",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9200101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.