Tom Wirth Bartsokas
Family Doctor - Sports Medicine
802 Wayne St Suite 100
Marietta
, Ohio 45750-3300
Tom Wirth Bartsokas
Family Doctor - Sports Medicine
802 Wayne St Suite 100
Marietta
, Ohio 45750-3300
(740) 374-5887
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Tom Wirth Bartsokas
- Po Box 449
- Marietta, OH
- Zip : 45750-0449
- Fax : (740) 374-5887
- Phone : (740) 374-4500
Second Address
- Tom Wirth Bartsokas
- 802 Wayne St Suite 100
- Marietta, OH
- Zip : 45750-3300
- Fax : (740) 374-6029
- Phone : (740) 374-6030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 35.052565 | OH |
National Provider Identifier
| NPI | 1154318467 |
|---|---|
| Provider Name | Tom Wirth Bartsokas |
| First Address | Marietta, OH 45750-0449 |
| Second Address | Marietta, OH 45750-3300 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2005 |
| Last Update Date | 24/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0653985 | (05) | OH |
| 3810028966 | (05) | WV |
| 4272541 | MEDICARE ID (01) | OH |
| A16797 | (02) | |
| P01604257 | RAILROAD MEDICARE - MHCPI (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.