Organization Active NPI

Ira Spar MD PC

  • Orthopaedic Hand Surgery Physician
  • Plantsville, CT
National Provider Identifier
1013180306
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
017525 Issued in CT
Legal business name
IRA SPAR MD PC
Practice address
620 Main St
Plantsville, CT 06479-1538
Phone
(860) 682-9863
Fax
(860) 628-9863
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Ms. Jane M Sapper
Title
Office Manager
Phone
(860) 628-8789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X 017525 CT Primary

Addresses

Primary practice location

620 Main St
Plantsville, CT 06479-1538

Mailing address

620 Main St
Plantsville, CT 06479-1538
Phone (860) 682-9863

Other identifiers 1

IdentifierTypeStateIssuer
001175256MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080514000314 CT Part B Supplier - Clinic/Group Practice 1153490362 Receives reassigned benefits from 1 practitioner
Practice locations: Plantsville, CT

National Provider Directory

National Provider Directory

Locations

620 Main St
Plantsville, CT 06479
Phone (860) 628-8789

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1013180306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791538",
            "telephone_number": "860-682-9863",
            "fax_number": "860-628-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791538",
            "telephone_number": "860-682-9863",
            "fax_number": "860-628-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA SPAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "SAPPER",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-628-8789",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CT",
            "license": "017525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001175256",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantsville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.