Individual provider Active NPI

John G Spranger, PAC

  • Surgical Physician Assistant
  • Englewood, CO
National Provider Identifier
1043297377
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2236 Issued in CO
Practice address
3277 S Lincoln St
Englewood, CO 80113-2512
Phone
(303) 762-0808
Fax
(303) 762-9292
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2236 CO Primary

Addresses

Primary practice location

3277 S Lincoln St
Englewood, CO 80113-2512

Mailing address

3277 S Lincoln St
Englewood, CO 80113
Phone (303) 762-0808

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
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1043297377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 S LINCOLN ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80113",
            "telephone_number": "303-762-0808",
            "fax_number": "303-762-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 S LINCOLN ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132512",
            "telephone_number": "303-762-0808",
            "fax_number": "303-762-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRANGER",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "2236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.