Active NPI
Berislav Spahija,M.D., Inc.
- Neurology Physician
- East Liverpool, OH
National Provider Identifier
1609941392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35077285
- Legal business name
- BERISLAV SPAHIJA,M.D., INC.
- Practice address
- 16687 Saint Clair Ave
Suite 201
East Liverpool, OH 43920-9401 - Phone
- (330) 382-1070
- Fax
- (330) 382-0916
- NPI assigned
- Nov 21, 2006
- Last updated
- Jul 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Berislav Spahija, M.D.
- Title
- President
- Phone
- (330) 382-1070
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 3580889 | OH | |
| Neurology Physician | 2084N0400X | 35077285 | OH | Primary |
Addresses
Primary practice location
16687 Saint Clair Ave
Suite 201
East Liverpool, OH 43920-9401
Mailing address
16687 Saint Clair Ave
Suite 201
East Liverpool, OH 43920-9401
Phone (330) 382-1070
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218165 | Other | UPMC | |
| 6120037-000 | Medicaid | WV | |
| 000000142099 | Other | OH | ANTHEM |
| 95840 | Other | QUALCHOICE | |
| 1047518 | Other | WV COMP | |
| 2260699 | Other | AETNA | |
| 26386 | Other | INDIANA HEALTH PLAN | |
| P77285 | Other | HEALTH PLAN | |
| 130021621 | Other | RAILROAD MEDICARE | |
| 774691 | Other | BS PA | |
| 000520339 | Other | BC BS PA | |
| 0500696 | Other | UNTED HEALTHCARE | |
| 18076961300 | Other | MMOH | |
| 2150390 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
16687 Saint Clair Ave
Ste 201
East Liverpool, OH 43920
Phone (330) 382-1070
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- East Liverpool, OH
- NPI 1114955614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1609941392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16687 SAINT CLAIR AVE",
"address_2": "SUITE 201",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439209401",
"telephone_number": "330-382-1070",
"fax_number": "330-382-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16687 SAINT CLAIR AVE",
"address_2": "SUITE 201",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439209401",
"telephone_number": "330-382-1070",
"fax_number": "330-382-0916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERISLAV SPAHIJA,M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "SPAHIJA",
"authorized_official_first_name": "BERISLAV",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-382-1070",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "3580889",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35077285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "218165",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6120037-000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000142099",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "95840",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV COMP",
"identifier": "1047518",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2260699",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA HEALTH PLAN",
"identifier": "26386",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN",
"identifier": "P77285",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130021621",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS PA",
"identifier": "774691",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS PA",
"identifier": "000520339",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNTED HEALTHCARE",
"identifier": "0500696",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMOH",
"identifier": "18076961300",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2150390",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Liverpool, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.