Organization 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
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
2513A Issued in WY
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1103963600MedicaidWY
302359OtherWYBCBS PROVIDER NUMBER
W308597OtherWYMEDICARE PROVIDER NUMBER
W308595OtherWYMEDICARE GROUP NUMBER

Other names 1

  • Thomas E Spicer MD Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.