Active NPI
Lawrence Joseph Spoljaric, MD
- Internal Medicine Physician
- Wadsworth, OH
National Provider Identifier
1902997786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35036385
- Practice address
- 251 Leatherman Rd
Wadsworth, OH 44281-9236 - Phone
- (330) 335-1551
- Fax
- (330) 335-1552
- NPI assigned
- Sep 27, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35036385 | OH | Primary |
Addresses
Primary practice location
251 Leatherman Rd
Wadsworth, OH 44281-9236
Mailing address
251 Leatherman Rd
Wadsworth, OH 44281-9236
Phone (330) 335-1551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0309562 | Medicaid | OH |
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 |
|---|---|---|---|
| 35036385 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1902997786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 LEATHERMAN RD",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442819236",
"telephone_number": "330-335-1551",
"fax_number": "330-335-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 LEATHERMAN RD",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442819236",
"telephone_number": "330-335-1551",
"fax_number": "330-335-1552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOLJARIC",
"first_name": "LAWRENCE",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35036385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0309562",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wadsworth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.