DR. EDWARD LEWIS SPELLMAN


Address: 7000 Boulder Ave, Highland, CA 92346
Phone: 9098621191

DR. EDWARD LEWIS SPELLMAN (NPI# 1558303727) 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) 1558303727
Entity Type Individual
Full Name DR. EDWARD LEWIS SPELLMAN
Credential MD
Practice Address 7000 Boulder Ave
Highland
CA 92346
Mailing Address 1615 Orange Tree Ln
Redlands
CA 92374-4501
Practice Telephone 9098621191
Mailing Telephone 9097860725
Enumeration Date 2006-06-12
Last Update Date 2018-05-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
031860 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 001318600 05
CONNECTI CARE 031860 01
AETNA 06132S634 01
COMM INS 061325634 01
UNITED HEALTH 061325634 01
BLUE CROSS FAMILY PLAN 00131860000 01
CHAMPUS 061325634 01
COMMUNITY HEALTH 061325634 01
FIRST HEALTH 0613Z5634 01
HEALTHNET OR0088 01
CIGNA 0983647004 01
DEPT OF LABOR 250952200 01
BLUE CROSS ANTHEM 010031860CT01 01
RR MEDICARE 130009173 01
WORK COMP 140400 01
OXFORD NHS133 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
116 Broad St, Ste 14, Meriden, CT 06410 2032387255 2036391812

Office Location

Street Address 7000 BOULDER AVE
City HIGHLAND
State CA
Zip Code 92346

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568412567 Hin Wah Lee Internal Medicine 7000 Boulder Ave, Highland, CA 92346-3348 2006-05-11
1932757374 Roger Rosewitz Nurse Practitioner 7000 Boulder Ave, Highland, CA 92346-3348 2019-08-29
1003383480 Andrew Tyler Orthopaedic Surgery 7000 Boulder Ave, Highland, CA 92346-3348 2018-10-24
1306330444 Charlene De Grassi Nurse Practitioner 7000 Boulder Ave, Highland, CA 92346 2018-06-21
1366812786 Timothy Thue Physician Assistant 7000 Boulder Ave, Highland, CA 92346-3348 2015-09-28
1598196255 Thaung Myat Aung Internal Medicine 7000 Boulder Ave, Highland, CA 92346 2013-12-06
1013353218 Raymond Sedgh Family Medicine 7000 Boulder Ave, Highland, CA 92346-3348 2013-05-14
1730524067 Michael Joseph Mcneill Family Medicine 7000 Boulder Ave, Highland, CA 92346 2013-04-30
1407142201 Mohamed Sami Elsharif Psychiatry & Neurology 7000 Boulder Ave, Highland, CA 92346-3348 2011-06-21
1427341577 Ankona Ghosh Otolaryngology 7000 Boulder Ave, Highland, CA 92346-3348 2011-05-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972101830 First Choice Transport Services LLC Non-emergency Medical Transport (VAN) 7538 Bonita Dr, Highland, CA 92346 2020-10-13
1578031597 Highland Optometrics Optometrist 7291 Boulder Avenue Suite #2d, Highland, CA 92346 2018-11-07
1972098218 Hlh Wellness Health Educator 7758 Merlin Way, Highland, CA 92346 2018-06-28
1871088385 Alexandria Ramirez Behavioral Analyst 7566 Rock Crest Lane, Highland, CA 92346 2018-06-27
1942708383 Sarah Kristine Alcaide Young Nurse Practitioner 7223 Church St Ste C, Highland, CA 92346 2018-01-31
1861914251 Brianna Rose Delpilar Pharmacist 2692 Highland Ave., Spc. 20, Highland, CA 92346 2017-07-07
1811440894 Nancy Elizabeth Clark Counselor 29157 Stonegate Lane, Highland, CA 92346 2016-07-26
1952771529 Michael Woosley Physical Therapy Assistant 29176 Whitegate Ln., Hihgland, CA 92346 2015-09-25
1326422940 Lawryn Ask Monterroso Dentist 7216 Palm Avenue Suit B, Highland, CA 92346 2015-07-14
1073908315 Empacare Homecare Hospice, Inpatient 7231 Boulder Ave., Ste 197, Highland, CA 92346 2015-04-03
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760554067 Pradeep Vamanrao Kalokhe Psychiatry & Neurology 8427 Kennedy Ave, Highland, IN 46322-1140 2006-11-14
1902379035 Health Quest Medical Practice, PC Psychiatry & Neurology 514 Route 299, Highland, NY 12528-2835 2019-01-11
1821582396 Health Quest Medical Practice, PC Psychiatry & Neurology 514 Route 299, Highland, NY 12528-2835 2018-06-19
1407142201 Mohamed Sami Elsharif Psychiatry & Neurology 7000 Boulder Ave, Highland, CA 92346-3348 2011-06-21
1174767990 Wenyu Sun Psychiatry & Neurology 7000 Boulder Ave, Highland, CA 92346-3348 2009-04-23
1225285711 Gauri Pradeep Kalokhe Psychiatry & Neurology 8427 Kennedy Ave, Highland, IN 46322-1140 2008-08-26
1821119504 Pradeep V Kalokhe,md,pc and Urmi P Kalokhe, Md,pc Psychiatry & Neurology 8427 Kennedy Ave, Highland, IN 46322-1140 2007-04-02
1457449910 Feng Liu Psychiatry & Neurology 7000 Boulder Ave, Highland, CA 92346-3348 2006-10-10
1669402558 Bradley A Cole Psychiatry & Neurology 7000 Boulder Ave, Highland, CA 92346-3348 2006-07-04
1598711384 Robert A Klein Psychiatry & Neurology 7000 Boulder Ave, Highland, CA 92346-3348 2006-05-25
Find all providers in HIGHLAND

Competitor

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City HIGHLAND
Zip Code 92346

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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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