| Spiro B Antoniades, MD | |
|
2014 S Tollgate Rd Ste 107, Bel Air, MD 21015-6010 | |
| (410) 446-8747 | |
| (443) 643-2088 |
| Full Name | Spiro B Antoniades |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 34 Years |
| Location | 2014 S Tollgate Rd Ste 107, Bel Air, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265535512 | NPI | - | NPPES |
| F 482 / 001 | Other | MD | BLUE CHOICE |
| 032500700 | Medicaid | MD | |
| LZ51/546417-06, 07, | Other | MD | BS / BC OF MD |
| LZ51/546417-08, 09 | Other | MD | BC /BS OF MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | D0047688 (Maryland) | Secondary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | D0047688 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Agnes Hospital | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agape Physical Therapy And Sports Rehabilitation Lp | 3870741390 | 478 |
| St Agnes Healthcare Inc | 9830092733 | 240 |
| Entity Name | St Agnes Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144250176 PECOS PAC ID: 9830092733 Enrollment ID: O20040128001146 |
| Entity Name | Medstar Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Spiro B Antoniades, MD 2014 S Tollgate Rd Ste 107, Bel Air, MD 21015-6010 Ph: (410) 877-7776 | Spiro B Antoniades, MD 2014 S Tollgate Rd Ste 107, Bel Air, MD 21015-6010 Ph: (410) 446-8747 |
Dr. Charles A. Hartjen, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 615 W Macphail Rd, Suite 210, Bel Air, MD 21014 Phone: 443-643-2082 Fax: 443-643-2088 | |
Donald Burke Haskins, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1131 Bel Air Rd, Bel Air, MD 21014 Phone: 410-877-1666 Fax: 410-879-9206 | |
Dr. Mark V Clough, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Plumtree Rd, Suite 301, Bel Air, MD 21015 Phone: 410-569-3326 Fax: 410-569-3551 | |
Dr. Raj Yalamanchili, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Upper Chesapeake Dr, Suite 417, Bel Air, MD 21014 Phone: 443-643-3130 Fax: 443-643-3133 | |
Dr. Anthony Santo Machi, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 201 Plumtree Rd Ste 301, Bel Air, MD 21015 Phone: 410-337-7900 | |
Todd J Tredinnick, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 201 Plumtree Rd, Suite 301, Bel Air, MD 21015 Phone: 410-569-3326 Fax: 410-569-3551 |