Individual provider Active NPI

Spyridon I Marinis, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Butler, PA
National Provider Identifier
1487622239
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
MD447961 Issued in PA
Practice address
901 E Brady St Ste 100
Butler, PA 16001-4651
Phone
(724) 285-9200
Fax
(724) 285-9288
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X MD447961 PA Primary
Obstetrics & Gynecology Physician 207V00000X MD447961 PA
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X C55834 CA

Addresses

Primary practice location

901 E Brady St Ste 100
Butler, PA 16001-4651

Mailing address

901 E Brady St Ste 100
Butler, PA 16001-4651
Phone (724) 285-9200

Other practice location 1

425 E Foothill Blvd
Rialto, CA 92376-5153
Phone (909) 546-1050

Other practice location 2

7965 Sierra Ave Ste E
Fontana, CA 92336-3329
Phone (909) 356-4459

Other practice location 3

1000 Higbee Dr
Ste 107
Bethel Park, PA 15102-4200
Phone (412) 854-7145

Other practice location 4

742 W Highland Ave
San Bernardino, CA 92405
Phone (909) 881-7320

Other practice location 5

1232 Greensprings Dr
York, PA 17402-8825
Phone (717) 845-9639

Other identifiers 4

IdentifierTypeStateIssuer
293407NHMOtherPAMEDICARE
1487622239MedicaidCA
1007317143084MedicaidPA
MD447961OtherPAMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smarinis265677@phsdirect.pinnaclehealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130729000254 PA Practitioner - Obstetrics/Gynecology 6901823483 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C55834CAMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician
MD447961PAMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Feb 1, 2019 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Feb 1, 2019 Accepting new patients
University of Pittsburgh Physicians Obstetrics & Gynecology CurrentSince Sep 1, 2018 Accepting new patients
Obhg Pennsylvania PC Obstetrics & Gynecology CurrentSince Nov 1, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 19, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 19, 2024 Accepting new patients
Pinnacle Health Medical Services Obstetrics & Gynecology Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 1, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1000 Higbee Dr
Ste 107
Bethel Park, PA 15102
Phone (412) 544-4000

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

1111 Franklin St
Ste 300
Johnstown, PA 15905
Phone (814) 534-9203

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

5140 Liberty Ave
Pittsburgh, PA 15224
Phone (412) 682-2100

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

1600 6th Ave
Ste 114
York, PA 17403
Phone (717) 755-1244

1232 Greensprings Dr
York, PA 17402
Phone (717) 207-4800

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1487622239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E BRADY ST STE 100",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014651",
            "telephone_number": "724-285-9200",
            "fax_number": "724-285-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E BRADY ST STE 100",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014651",
            "telephone_number": "724-285-9200",
            "fax_number": "724-285-9288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 E Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923765153",
            "country_code": "US",
            "telephone_number": "909-546-1050",
            "fax_number": "909-546-1061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7965 Sierra Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923363329",
            "country_code": "US",
            "telephone_number": "909-356-4459",
            "fax_number": "909-355-4261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Higbee Dr",
            "address_2": "Ste 107",
            "address_purpose": "LOCATION",
            "city": "Bethel Park",
            "state": "PA",
            "postal_code": "151024200",
            "country_code": "US",
            "telephone_number": "412-854-7145",
            "fax_number": "412-854-7142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "742 W Highland Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "92405",
            "country_code": "US",
            "telephone_number": "909-881-7320",
            "fax_number": "909-881-7330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1232 Greensprings Dr",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174028825",
            "country_code": "US",
            "telephone_number": "717-845-9639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINIS",
        "first_name": "SPYRIDON",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "PA",
            "license": "MD447961",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD447961",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "CA",
            "license": "C55834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "293407NHM",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487622239",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007317143084",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD447961",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smarinis265677@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1232 Greensprings Dr",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174028825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.