Thomas R Spragg, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16702 Issued in IA

Practice address

1717 W Ridgeway Ave
Waterloo, IA 50701-4543

Phone

(319) 833-5700

Fax

(319) 833-5740

NPI assigned

Jan 4, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• North Iowa Mercy Clinics

  • Family Medicine Physician
  • Mason City, IA
  • NPI 1922118918
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1093793580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014543",
            "telephone_number": "319-833-5700",
            "fax_number": "319-833-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014543",
            "telephone_number": "319-833-5700",
            "fax_number": "319-833-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGG",
        "first_name": "THOMAS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "16702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005181",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005181",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Annette Speicher-Windolf, ARNP
• Destry Sperfslage
• Spines & Grinds LLC
• Carley Spooner
• John Kent Spragg, DDS
• Carla J Springer, M.D.
• Jane A. Springer, PHD
• Eric Spurgeon, DDS
• Benjamin Robert Squires, DDS
• Kathryn Squires, RD, LD

• Internal Medicine Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.