Provider Demographics
NPI:1467549816
Name:SPIELES, CHRISTOPHER JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOSEPH
Last Name:SPIELES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 S SHOOP AVE
Mailing Address - Street 2:
Mailing Address - City:WAUSEON
Mailing Address - State:OH
Mailing Address - Zip Code:43567-1735
Mailing Address - Country:US
Mailing Address - Phone:419-335-2663
Mailing Address - Fax:419-335-9615
Practice Address - Street 1:735 S SHOOP AVE
Practice Address - Street 2:
Practice Address - City:WAUSEON
Practice Address - State:OH
Practice Address - Zip Code:43567-1735
Practice Address - Country:US
Practice Address - Phone:419-335-2663
Practice Address - Fax:419-335-9615
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH71685207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000231281OtherANTHEM
OHP00662098OtherRAILROAD MEDICARE
OH000000580435OtherANTHEM
OH200044063OtherRAILROAD MEDICARE
OH03770OtherPARAMOUNT HEALTH INSURANC
OH000000231296OtherANTHEM
OH200044064OtherRAILROAD MEDICARE
OH7747119OtherAETNA
OH000000231296OtherANTHEM
OH000000231281OtherANTHEM
OH200044063OtherRAILROAD MEDICARE
OH$$$$$$$$$013OtherMEDICAL MUTUAL OF OHIO
OHH15320Medicare UPIN