Active NPI
Anthony G Spartos, MD
- Family Medicine Physician
- Swampscott, MA
National Provider Identifier
1760475768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40830
- Practice address
- 250 Paradise Rd
Swampscott, MA 01907-2948 - Phone
- (781) 596-2000
- Fax
- (781) 595-7111
- NPI assigned
- Aug 24, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40830 | MA | Primary |
Addresses
Primary practice location
250 Paradise Rd
Swampscott, MA 01907-2948
Mailing address
148 East Ave
Suite 3H
Norwalk, CT 06851-5721
Phone (203) 354-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2050633 | Medicaid | MA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40830 | MA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259798400000",
"number": "1760475768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 EAST AVE",
"address_2": "SUITE 3H",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515721",
"telephone_number": "203-354-6100",
"fax_number": "203-354-6182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PARADISE RD",
"city": "SWAMPSCOTT",
"state": "MA",
"postal_code": "019072948",
"telephone_number": "781-596-2000",
"fax_number": "781-595-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARTOS",
"first_name": "ANTHONY",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2009-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "40830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2050633",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Swampscott, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.