Provider Demographics
NPI:1720738248
Name:VONORTAS, SPIRIDON NICHOLAS (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:SPIRIDON
Middle Name:NICHOLAS
Last Name:VONORTAS
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6768 BRIGADOON DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-5436
Mailing Address - Country:US
Mailing Address - Phone:240-408-1929
Mailing Address - Fax:
Practice Address - Street 1:663 W LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3805
Practice Address - Country:US
Practice Address - Phone:610-658-0999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-27
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD490482208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program