Individual provider Active NPI

Thomas Steven Spurgat, MD

  • Pediatrics Physician
  • Selma, TX
National Provider Identifier
1063401669
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G6875 Issued in TX
Practice address
15069 Ih 35 N Ste 116
Selma, TX 78154-3372
Phone
(210) 543-7334
Fax
(210) 314-5044
NPI assigned
Oct 17, 2005
Last updated
Dec 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G6875 TX
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X G6875 TX
Pediatrics Physician 208000000X G6875 TX Primary

Addresses

Primary practice location

15069 Ih 35 N Ste 116
Selma, TX 78154-3372

Mailing address

313 Wild Turkey Blvd
Boerne, TX 78006-8021
Phone (210) 543-7334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2013 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G6875TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Radiology Associates P a Past Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine Past Accepting new patients
Little Spurs Pediatric Urgent Care, PLLC Pediatrics PastSince Oct 31, 2010 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1063401669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 WILD TURKEY BLVD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068021",
            "telephone_number": "210-543-7334",
            "fax_number": "830-249-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15069 IH 35 N STE 116",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781543372",
            "telephone_number": "210-543-7334",
            "fax_number": "210-314-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURGAT",
        "first_name": "THOMAS",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G6875",
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "G6875",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G6875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, TX

Sources for this page

Verify at the official NPI Registry.