Jim Michael Spoor, EMT

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

138125 Issued in NY

Practice address

18 Clifford St
Ellenville, NY 12428-2602

Phone

(845) 210-1056

NPI assigned

Jul 21, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• James Michael Spoor Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1073920294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CLIFFORD ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124282602",
            "telephone_number": "845-210-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CLIFFORD ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124282602",
            "telephone_number": "845-210-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOOR",
        "first_name": "JIM",
        "middle_name": "MICHAEL",
        "credential": "EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NY",
            "license": "138125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE",
            "identifier": "138152",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "SPOOR",
            "middle_name": "MICHAEL",
            "credential": "EMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Basic Emergency Medical Technician in Ellenville, NY
• Providers in Ellenville, NY by specialty
• Basic Emergency Medical Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.