DR. MARK A SPATOLA


Address: 2021 Kingsley Ave, Ste 101, Orange Park, FL 32073-5128
Phone: 9042763376

DR. MARK A SPATOLA (NPI# 1437152519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437152519
Entity Type Individual
Full Name DR. MARK A SPATOLA
Credential M.D.
Practice Address 2021 Kingsley Ave
Ste 101
Orange Park
FL 32073-5128
Practice Telephone 9042763376
Practice Fax Number 9042765308
Mailing Telephone 9042763376
Mailing Fax Number 9042765308
Enumeration Date 2005-05-23
Last Update Date 2014-09-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery ME0053729 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 049305800 05

Office Location

Street Address 2021 KINGSLEY AVE
STE 101
City ORANGE PARK
State FL
Zip Code 32073-5128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427431667 Akshaya Kambhatla Internal Medicine 2021 Kingsley Ave, Orange Park, FL 32073 2015-07-07
1316219231 Christopher Gatheral Nurse Anesthetist, Certified Registered 2021 Kingsley Ave, Suite 105, Orange Park, FL 32073-5174 2012-02-08
1821314634 Frederic Lee Williams Nurse Anesthetist, Certified Registered 2021 Kingsley Ave, Suite 105, Orange Park, FL 32073-5174 2010-04-19
1124276431 A1 Imaging II of Orange Park LLC Clinic/Center 2021 Kingsley Ave, Suite 108, Orange Park, FL 32073-5174 2008-08-29
1255523957 Sunshine Spine and Pain Pa Pain Medicine 2021 Kingsley Ave, Suite 103, Orange Park, FL 32073-5174 2007-08-16
1114124112 Shradha Pokharel Internal Medicine 2021 Kingsley Ave, Suite 101, Orange Park, FL 32073-5174 2007-07-02
1043427099 Omar M Garcia Anesthesiology 2021 Kingsley Ave, Suite 105, Orange Park, FL 32073-5174 2007-05-17
1760517353 Allen Nadeau Physician Assistant 2021 Kingsley Ave, Suite 104, Orange Park, FL 32073-5174 2007-02-22
1730220674 Linda Jean Delacourt Anesthesiology 2021 Kingsley Ave, Suite 105, Orange Park, FL 32073-5174 2007-02-12
1083753909 Carla J Pardo Anesthesiology 2021 Kingsley Ave, Suite 105, Orange Park, FL 32073-5174 2007-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891309423 Kingsley Endoscopy Center LLC Clinic/Center 970 Kingsley Avenue, Orange Park, FL 32073 2020-09-01
1962028688 Esra Sari Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 2020-06-18
1104441146 Zeshan Tariq Malik Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 2020-06-16
1902421894 Ameer Hamza Student in an Organized Health Care Education/Training Program 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 2020-06-16
1497378103 Fawad Ahmed Rashid Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 2020-05-28
1477174985 Hannan Asghar Student in an Organized Health Care Education/Training Program Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 2020-05-06
1902427156 Emmanuel Iyanuloluwa Morakinyo Student in an Organized Health Care Education/Training Program 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 2020-04-29
1437799327 Dalande Leger Behavior Technician 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 2020-01-08
1215598313 Mohammad Harisullah Khan Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 2019-06-28
1558927970 Preetha Kamath Student in an Organized Health Care Education/Training Program Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 2019-05-10
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881662716 Michael B Horowitz Neurological Surgery 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073-4451 2006-03-08
1114919230 Cheslovas Rothschild Neurological Surgery 1887 Kingsley Ave, Suite1900, Orange Park, FL 32073-4416 2005-08-16
1043464639 Timothy Derrick Do Neurological Surgery 4689 Us Highway 17, Suite 11, Orange Park, FL 32003-4831 2008-11-09
1861406720 Orange Park Neurosurgery P.l. Neurological Surgery 2021 Kingsley Ave, Suite 101, Orange Park, FL 32073-5174 2006-07-28
1235169079 Elizabeth Anne Vitarbo Neurological Surgery 1887 Kingsley Ave, Suite 1900, Orange Park, FL 32073-4416 2006-07-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063032514 Jose Valerio Md Pllc Neurological Surgery 2741 Executive Park Dr Ste 2, Weston, FL 33331-3641 2020-04-24
1376172478 Neuspine Ancillary LLC Neurological Surgery 510 Vonderburg Dr Ste 213, Brandon, FL 33511-5981 2020-04-02
1013542364 Michelle Carnes Neurological Surgery 2575 Northbrooke Plaza Dr Unit 100, Naples, FL 34119-8105 2020-03-06
1962049163 East Coast Neuro Spine Clinic, LLC Neurological Surgery 1601 S Apollo Blvd Ste C, Melbourne, FL 32901-4484 2019-12-06
1659913796 Orlando Neurosurgical Solutions LLC Neurological Surgery 2706 Rew Cir # 205, Ocoee, FL 34761-4215 2019-10-10
1760047831 North Broward Neurospinal Surgery Inc Neurological Surgery 1 W Sample Rd Ste 209, Pompano Beach, FL 33064-3547 2019-05-04
1932672912 Volusia Neurosurgical Associates Neurological Surgery 311 N Clyde Morris Blvd Ste 440, Daytona Beach, FL 32114-2757 2019-01-02
1861961344 Expert Neurosurgical Services LLC Neurological Surgery 600 Heritage Dr Ste 105, Jupiter, FL 33458-3098 2018-11-14
1902374630 Guilherme Jose Agnoletto Neurological Surgery 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 2018-11-12
1114492493 Lloyd Maliner, Md Pa Neurological Surgery 301 Nw 84th Ave Ste 206, Plantation, FL 33324-1807 2018-10-12
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Competitor

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City ORANGE PARK
Zip Code 32073

Improve Information

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Dataset Information

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.

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