DR. JOHN D SPEARS (NPI# 1043315385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043315385 |
Entity Type | Individual |
Full Name | DR. JOHN D SPEARS |
Credential | D.O. |
Practice Address |
1616 Southridge Dr Ste 202 Jefferson City MO 65109-5677 |
Practice Telephone | 5736350401 |
Practice Fax Number | 5736356715 |
Mailing Telephone | 5736350401 |
Mailing Fax Number | 5736356715 |
Enumeration Date | 2006-09-13 |
Last Update Date | 2010-12-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
2003031159 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 208747808 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093290256 | John William Spears Jr. | Occupational Therapy Assistant | 1200 Tx-100, Port Isabel, TX 78578 | 2018-10-03 |
Street Address |
1616 SOUTHRIDGE DR STE 202 |
City | JEFFERSON CITY |
State | MO |
Zip Code | 65109-5677 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588979900 | Capital Region Medical Center | Clinic/Center | 1616 Southridge Dr, Suite 203, Jefferson City, MO 65109-5677 | 2010-08-10 |
1265686125 | Missouri Spine Institute, LLC | Orthopaedic Surgery | 1616 Southridge Dr, Ste 202, Jefferson City, MO 65109-5677 | 2008-11-05 |
1649431420 | Jason Thomas | Registered Nurse | 1616 Southridge Dr, Ste 202, Jefferson City, MO 65109-5677 | 2008-06-24 |
1700093937 | Turnbaugh Surgical Associates, Inc | Durable Medical Equipment & Medical Supplies | 1616 Southridge Dr, Suite 202, Jefferson City, MO 65109-5677 | 2007-05-17 |
1043319957 | Family Medicine of Jefferson City, LLC | Family Medicine | 1616 Southridge Dr, Suite #203, Jefferson City, MO 65109-5677 | 2006-09-21 |
1083719975 | Daniel P Lavery | Family Medicine | 1616 Southridge Dr, Suite #203, Jefferson City, MO 65109-5677 | 2006-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
Find all providers in zip 65109 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336140177 | William Blake Rodgers | Orthopaedic Surgery | 2505 Mission Dr, Suite 200, Jefferson City, MO 65109-9508 | 2005-08-02 |
1265686125 | Missouri Spine Institute, LLC | Orthopaedic Surgery | 1616 Southridge Dr, Ste 202, Jefferson City, MO 65109-5677 | 2008-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740839893 | Midwest Orthopedic and Spine Specialists | Orthopaedic Surgery | 14825 N Outer 40 Rd Ste 310, Chesterfield, MO 63017-2152 | 2019-09-10 |
1396305348 | Advanced Spine Institute LLC | Orthopaedic Surgery | 3009 N Ballas Rd Ste 320a, Saint Louis, MO 63131-2324 | 2019-06-20 |
1871092882 | Spine Cin of Kansas City LLC | Orthopaedic Surgery | 111 W 10th St Ste 101, Kansas City, MO 64105-1700 | 2018-02-05 |
1689173692 | Spine Cin of St Louis LLC | Orthopaedic Surgery | 11628 Old Ballas Rd # 344, Saint Louis, MO 63141-7030 | 2018-02-05 |
1881193894 | Optimal Health of Mo, LLC | Orthopaedic Surgery | 11628 Old Ballas Rd # 345, Saint Louis, MO 63141-7030 | 2018-02-05 |
1386010684 | St. Peters Bone & Joint Surgery, Inc. | Orthopaedic Surgery | 4651 Hwy K, O'fallon, MO 63368 | 2015-08-20 |
1548317118 | David K. Ebelke | Orthopaedic Surgery | 2750 Clay Edwards Dr Ste 600, North Kansas City, MO 64116-3258 | 2007-01-04 |
1497802060 | Spine Surgery, Ltd. | Orthopaedic Surgery | 2790 Clay Edwards Dr Ste 630, North Kansas City, MO 64116 | 2007-01-04 |
1952364796 | Donald A Degrange | Orthopaedic Surgery | 621 S New Ballas Rd Ste 142a, Saint Louis, MO 63141-8254 | 2006-04-11 |
1851390645 | Paul Milton Olive | Orthopaedic Surgery | 3126 S Jackson Ave, Ste 200, Joplin, MO 64804-2534 | 2005-07-14 |
Find all providers with the same taxonomy |
City | JEFFERSON CITY |
Zip Code | 65109 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.