Active NPI
Richard Lee Spinner, DPM
- Podiatrist
- Stroudsburg, PA
National Provider Identifier
1023082435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC-002046L
- Practice address
- 1101 N. 5TH Street
Stroudsburg, PA 18360 - Phone
- (570) 424-6928
- Fax
- (570) 421-5472
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | SC002046L | PA | |
| Podiatrist | 213E00000X | SC-002046L | PA | Primary |
Addresses
Primary practice location
1101 N. 5TH Street
Stroudsburg, PA 18360
Mailing address
1101 N. 5TH Street
Stroudsburg, PA 18360
Phone (570) 424-6928
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07632072 | Medicaid | PA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC-002046L | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocono Ambulatory Surgery Center LTD | Past | Accepting new patients | |
| Richard L. Spinner DPM PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Stroudsburg, PA
- NPI 1932430600
-
- Ambulatory Surgical Clinic/Center
- Stroudsburg, PA
- NPI 1265435176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1023082435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 N. 5TH STREET",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "18360",
"telephone_number": "570-424-6928",
"fax_number": "570-421-5472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N. 5TH STREET",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "18360",
"telephone_number": "570-424-6928",
"fax_number": "570-421-5472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINNER",
"first_name": "RICHARD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC002046L",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC-002046L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07632072",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.