Individual provider Active NPI

Neil Howard Spitalny, M.D.

  • Orthopaedic Surgery Physician
  • Hixson, TN
National Provider Identifier
1114948122
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD15735 Issued in TN
Practice address
5022 Old Godsey LN
Suite 2
Hixson, TN 37343-6600
Phone
(423) 870-4999
Fax
(423) 870-1985
NPI assigned
Jul 22, 2006
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD15735 TN Primary
Orthopaedic Surgery Physician 207X00000X 051388 GA

Addresses

Primary practice location

5022 Old Godsey LN
Suite 2
Hixson, TN 37343-6600

Mailing address

5022 Old Godsey LN
Suite 2
Hixson, TN 37343-6600
Phone (423) 870-4999

Other identifiers 11

IdentifierTypeStateIssuer
4139453OtherTNAETNA
621753676OtherTNUNITED HEALTH CARE
TN0101OtherTNJOHN DEERE HEALTH
3103052OtherTNBLUE CROSS BLUE SHIELD
00949451AMedicaidGA
1502623MedicaidTN
1537414OtherTNUMWA HEALTH
3012938OtherTNACCESS MED PLUS
100020710OtherTNHEALTH STRATEGIES
373943600OtherKYOWCP KENTUCKY
621753676OtherTNCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051388GAMDOrthopaedic Surgery Physician
MD15735TNMDOrthopaedic Surgery Physician

Organizations & group practices 1

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1114948122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 OLD GODSEY LN",
            "address_2": "SUITE 2",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373436600",
            "telephone_number": "423-870-4999",
            "fax_number": "423-870-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 OLD GODSEY LN",
            "address_2": "SUITE 2",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373436600",
            "telephone_number": "423-870-4999",
            "fax_number": "423-870-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITALNY",
        "first_name": "NEIL",
        "middle_name": "HOWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MD15735",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "051388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4139453",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "621753676",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH",
            "identifier": "TN0101",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3103052",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00949451A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1502623",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA HEALTH",
            "identifier": "1537414",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCESS MED PLUS",
            "identifier": "3012938",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH STRATEGIES",
            "identifier": "100020710",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP KENTUCKY",
            "identifier": "373943600",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "621753676",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.