Active NPI
Thomas E Spicer, MD-PC
Doing business as Thomas E Spicer MD
- Medical Specialty Clinic/Center
- Rock Springs, WY
National Provider Identifier
1093998098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 2513A
- Legal business name
- THOMAS E SPICER, MD-PC
- Doing business as
- Thomas E Spicer MD
- Practice address
- 1208 Hilltop Dr
Suite 103
Rock Springs, WY 82901-5857 - Phone
- (307) 362-8211
- NPI assigned
- Dec 12, 2007
- Last updated
- Dec 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl A Padilla
- Title
- Office Manager
- Phone
- (307) 362-8211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 2513A | WY | Primary |
Addresses
Primary practice location
1208 Hilltop Dr
Suite 103
Rock Springs, WY 82901-5857
Mailing address
1208 Hilltop Dr
Suite 103
Rock Springs, WY 82901-5857
Phone (307) 362-8211
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1103963600 | Medicaid | WY | |
| 302359 | Other | WY | BCBS PROVIDER NUMBER |
| W308597 | Other | WY | MEDICARE PROVIDER NUMBER |
| W308595 | Other | WY | MEDICARE GROUP NUMBER |
Other names 1
- Thomas E Spicer MD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197417600000",
"number": "1093998098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 HILLTOP DR",
"address_2": "SUITE 103",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015857",
"telephone_number": "307-362-8211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 HILLTOP DR",
"address_2": "SUITE 103",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015857",
"telephone_number": "307-362-8211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS E SPICER, MD-PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-12",
"last_updated": "2007-12-12",
"status": "A",
"authorized_official_last_name": "PADILLA",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "307-362-8211"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "WY",
"license": "2513A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1103963600",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "302359",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "W308597",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "W308595",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thomas E Spicer MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rock Springs, WY
- Tatum-Mere Health and Community Services Inc. (Southwest Pain Management)
- Margaret Rose Taylor
- Ryan C. Taylor, DDS
- Terry Donaldson MD, PC. (Donaldson Medical Clinic)
- The Eye Institute of Utah
- Thomas E. Spicer, MD, PC
- Shaun Connor Thomas, M.S
- Jerusha Dove Thompson, PPC
- Fergus Thornton, M.D.
- Thoughtful Insights Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.