Organization Active NPI

Alexander Spasic MD Family Medicine LLC

  • Family Medicine Physician
  • Carlisle, PA
National Provider Identifier
1003839143
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD064529L Issued in PA
Legal business name
ALEXANDER SPASIC MD FAMILY MEDICINE LLC
Practice address
419 Village Dr
Carlisle, PA 17015-6943
Phone
(717) 258-0099
Fax
(717) 258-0085
NPI assigned
Jul 26, 2006
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alexander Spasic, M.D.NPI 1003812132
Title
Physician
Phone
(717) 258-0099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD064529L PA Primary

Addresses

Primary practice location

419 Village Dr
Carlisle, PA 17015-6943

Mailing address

419 Village Dr
Suite 6
Carlisle, PA 17015-6943
Phone (717) 258-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050915000600 PA Part B Supplier - Clinic/Group Practice 7517990963 Receives reassigned benefits from 1 practitioner
Practice locations: Carlisle, PA

National Provider Directory

National Provider Directory

Locations

19 Brookwood Ave
Ste 104
Carlisle, PA 17015
Phone (717) 243-9010

419 Village Dr
Ste 6
Carlisle, PA 17015
Phone (717) 245-9101

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1003839143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 VILLAGE DR",
            "address_2": "SUITE 6",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170156943",
            "telephone_number": "717-258-0099",
            "fax_number": "717-258-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 VILLAGE DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170156943",
            "telephone_number": "717-258-0099",
            "fax_number": "717-258-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER SPASIC MD FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "SPASIC",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "717-258-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD064529L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.