Individual provider Active NPI

Theodore Spirtos, MD

  • Emergency Medicine Physician
  • Youngstown, OH
National Provider Identifier
1740221589
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.045256 Issued in OH
Practice address
527 N Meridian Rd
Youngstown, OH 44509-1227
Phone
(330) 797-0070
Fax
(330) 797-9146
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35.045256 OH
Emergency Medicine Physician 207P00000X 35.045256 OH Primary

Addresses

Primary practice location

527 N Meridian Rd
Youngstown, OH 44509-1227

Mailing address

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070

Other identifiers 3

IdentifierTypeStateIssuer
942460636230OtherOHCARESOURCE
0673123MedicaidOH
930006661OtherOHMEDICARE RR-GA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040729001599 OH Practitioner - Emergency Medicine 3173421096 Reassigns benefits to 8 organizations
I20260504006844 WI Practitioner - Emergency Medicine 3173421096 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio State University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians

Practice addresses (Care Compare)

1995 E State St
Salem Hospital
Salem, OH 44460-2423
Phone (330) 332-1551

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.045256OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Union Hospital Association CurrentSince Apr 24, 2023 Accepting new patients
Steward Emergency Physicians Ohio Inc Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
RC Hastedt MD Inc Current Accepting new patients
Community Pathologists Inc Current Accepting new patients
Mves Austintown LLC Emergency Medicine CurrentSince Jul 14, 2018 Accepting new patients
The Union Hospital Association CurrentSince Apr 24, 2023 Accepting new patients
Mahoning Valley Emergency Specialists LLC Emergency Medicine CurrentSince Apr 30, 2019 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Ohio Em-I Medical Services, Professional Association Past Accepting new patients

Locations

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

7123 Pearl Rd
Ste 201
Middleburg Heights, OH 44130
Phone (440) 842-8800

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1740221589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091227",
            "telephone_number": "330-797-0070",
            "fax_number": "330-797-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091227",
            "telephone_number": "330-797-0070",
            "fax_number": "330-797-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRTOS",
        "first_name": "THEODORE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.045256",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.045256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636230",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0673123",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR-GA",
            "identifier": "930006661",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.