DOUGLAS A. SPOTTS, MD FAMILY MEDICAL CARE, PC (NPI# 1609867449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609867449 |
Entity Type | Organization |
Organization Name | DOUGLAS A. SPOTTS, MD FAMILY MEDICAL CARE, PC |
Practice Address |
45 Forestwood Dr Lewisburg PA 17837-6213 |
Practice Telephone | 5705245050 |
Practice Fax Number | 5705245250 |
Mailing Telephone | 5705245050 |
Mailing Fax Number | 5705245250 |
Enumeration Date | 2005-11-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. DOUGLAS ALAN SPOTTS (OWNER) |
Authorized Official Telephone | 5705245050 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD058238L | PA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | HIGHMARK | 1475996 | 01 |
PA | 0015761540005 | 05 | |
PA | KEYSTONE | 1475996 | 01 |
PA | GHP | 20724 | 01 |
PA | BLUE CROSS | 50016191 | 01 |
PA | BLUE SHIELD | 1475996 | 01 |
PA | HEALTH AMERICA | 210181 | 01 |
Street Address |
45 FORESTWOOD DR |
City | LEWISBURG |
State | PA |
Zip Code | 17837-6213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558988543 | Rachel Liane Robbins | Audiologist | 45 Forestwood Dr, Lewisburg, PA 17837-6213 | 2020-06-25 |
1972940302 | Robin Allison Myers | Dentist | 45 Forestwood Dr, Suite 2, Lewisburg, PA 17837-6213 | 2013-05-24 |
1760769442 | Evangelical Medical Services Organization | Clinical Medical Laboratory | 45 Forestwood Dr, Lewisburg, PA 17837-6213 | 2011-11-09 |
1841415429 | Robin A Myers Dmd PC | Dentist | 45 Forestwood Dr, Suite 2, Lewisburg, PA 17837-6213 | 2007-04-17 |
1215034020 | Christopher Joseph Lee | Family Medicine | 45 Forestwood Dr, Lewisburg, PA 17837-6213 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588274245 | Susquehanna Valley Therapy Group, LLC | Counselor | 4552 West Branch Highway, Lewisburg, PA 17837 | 2020-08-06 |
1184185910 | Laura Pulaski | Physical Therapy Assistant | 15 Rivercrest Cir, Lewisburg, PA 17837 | 2019-03-26 |
1487112892 | Taylor Karin Hendrix | Physical Therapy Assistant | 189 Tressler Dr, Lewisburg, PA 17837 | 2019-03-05 |
1902375033 | United States Penitentiary | Pharmacist | 2400 Robert F. Miller Drive, Lewisburg, PA 17837 | 2018-11-19 |
1114419710 | Society Hill Dental In Lewisburg | Dentist | 339 Market Street, Lewisburg, PA 17837 | 2018-05-31 |
1669919213 | Karen Jean Orchard | Marriage & Family Therapist | 821 Buffalo Road, Lewisburg, PA 17837 | 2017-01-20 |
1063892057 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 224 Hardwood Dr, Lewisburg, PA 17837 | 2015-06-04 |
1003207853 | Lenora Jeanne Broda | Counselor | 1800 Market St, Diakon Family Life Services, Lewisburg, PA 17837 | 2015-02-16 |
1225457401 | Geisinger Clinic | Clinic/Center | 1717 W Market St, Lewisburg, PA 17837 | 2014-04-15 |
1982045456 | Abdul Rahim Ali | Counselor | 32 Whisper Creek, Suite 8, Lewisburg, PA 17837 | 2013-07-12 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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---|---|---|---|---|
1417071812 | New Covenant Pediatric Center, Pllc | Clinic/Center | Rr 2 Box 375g, Lewisburg, WV 24901-9346 | 2007-03-19 |
1821481979 | Montclair Health and Wellness LLC | Clinic/Center | 710 Cornersville Rd, Lewisburg, TN 37091-4115 | 2015-03-13 |
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1700484961 | New Beginnings Healthcare, Pllc | Clinic/Center | 24 N 7th St, Stroudsburg, PA 18360-2266 | 2020-10-11 |
1164035267 | Vision On The Move | Clinic/Center | 1015 Toll St, Eddystone, PA 19022-1451 | 2020-08-28 |
1245859388 | Accommodating Healthcare Solutions, PC | Clinic/Center | 1744 Bridgetown Pike, Feasterville Trevose, PA 19053-2362 | 2020-04-09 |
1427684059 | Health Care Center LLC | Clinic/Center | 16e Hanover Street, Hanover St, Gettysburg, PA 17325 | 2020-03-16 |
1518591163 | True Rejuvenation Peptide and Hormone Replacement Therapy Pllc | Clinic/Center | 4523 W Ridge Rd, Erie, PA 16506-1435 | 2020-02-22 |
1881238988 | Slrmed LLC | Clinic/Center | 781 Easton Rd, Warrington, PA 18976-2019 | 2019-10-31 |
1487205167 | Careatc | Clinic/Center | 6340 Flank Dr, Harrisburg, PA 17112-2764 | 2019-09-24 |
1770134454 | Careatc | Clinic/Center | 1126 Walnut St Ste B, Lebanon, PA 17042-5939 | 2019-09-24 |
1023670189 | Avalon Primary Care, PC | Clinic/Center | 2160 Lincoln Hwy E Ste 1-a4, Lancaster, PA 17602-1150 | 2019-06-28 |
1639734213 | Ideal Wellness Family Practice, PC | Clinic/Center | 701 Leon Ave, Palmyra, PA 17078-3554 | 2019-05-08 |
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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.