Michael Anthony Spataro, RN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.166363.MEDS-IV Issued in OH

Practice address

3226 Oakdale Ave
Lorain, OH 44055

Phone

(440) 865-5537

NPI assigned

Aug 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1811475494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 OAKDALE AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440551030",
            "telephone_number": "440-865-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 OAKDALE AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44055",
            "telephone_number": "440-865-5537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Sleepy Hollow Dr",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "OH",
            "postal_code": "440012791",
            "country_code": "US",
            "telephone_number": "440-315-0136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPATARO",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-05",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.166363.MEDS-IV",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.499852",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104987202999",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josue Soto
• Kaylyn Mae Soto, LSW
• Southside Pharmacy of Lorain Inc
• Kristine Sovich
• Aleksandar Spasic
• Spectrum Consulting Services
• Sharon Rochelle Spencer
• Jacqueline Spenzer, LPC
• Amy Spiegelberg
• Peter Spinoso

• Licensed Practical Nurse in Lorain, OH
• Providers in Lorain, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.