Active NPI
Karen L Spodarek, D.O.
- Diagnostic Radiology Physician
- Charleston, SC
National Provider Identifier
1003847948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DO1374
- Practice address
- 316 Calhoun St
Charleston, SC 29401-1113 - Phone
- (843) 724-2154
- Fax
- (843) 805-6277
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2542 | KY | |
| Diagnostic Radiology Physician | 2085R0202X | 4870 | OK | |
| Diagnostic Radiology Physician | 2085R0202X | DO1374 | SC | Primary |
Addresses
Primary practice location
316 Calhoun St
Charleston, SC 29401-1113
Mailing address
PO Box 2363
Indianapolis, IN 46206-2363
Phone (843) 724-2154
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200294710A | Other | OK | OSU MEDICAID |
| 64025422 | Medicaid | KY | |
| 200294710B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2542 | KY | MD | Diagnostic Radiology Physician |
| 4870 | OK | MD | Diagnostic Radiology Physician |
| DO1374 | SC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckiana Diagnostics | Diagnostic Radiology | Past | Accepting new patients |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Imaging Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
| Medical Imaging Consultants, PSC | Diagnostic Radiology | Past | Accepting new patients |
| University Radiological Associates, PSC | Diagnostic Radiology | Past | Accepting new patients |
| PSF PLLC | Past | Accepting new patients | |
| Roper Hospital Inc. | Past | Accepting new patients | |
| Ctca Physicans Group of Oklahoma, Inc | Past | Accepting new patients | |
| Kentuckiana Emergency Physicians, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://carepath.health-partners.org/Proxy-FHIR/RSF/api/FHIR/R4
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- N. Charleston, SC
- NPI 1104563758
-
- Specialist
- Tulsa, OK
- NPI 1053309591
-
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1427049956
-
- Diagnostic Radiology Physician
- Jeffersonville, IN
- NPI 1225030901
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1801833140
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1710981311
-
- Allergy & Immunology Physician
- Louisville, KY
- NPI 1881785947
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1528008166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1003847948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2363",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462062363",
"telephone_number": "843-724-2154",
"fax_number": "843-805-6277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 CALHOUN ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294011113",
"telephone_number": "843-724-2154",
"fax_number": "843-805-6277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPODAREK",
"first_name": "KAREN",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "2542",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "4870",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "DO1374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OSU MEDICAID",
"identifier": "200294710A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64025422",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200294710B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.