Active NPI
Neil Howard Spitalny, M.D.
- Orthopaedic Surgery Physician
- Hixson, TN
National Provider Identifier
1114948122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD15735
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4139453 | Other | TN | AETNA |
| 621753676 | Other | TN | UNITED HEALTH CARE |
| TN0101 | Other | TN | JOHN DEERE HEALTH |
| 3103052 | Other | TN | BLUE CROSS BLUE SHIELD |
| 00949451A | Medicaid | GA | |
| 1502623 | Medicaid | TN | |
| 1537414 | Other | TN | UMWA HEALTH |
| 3012938 | Other | TN | ACCESS MED PLUS |
| 100020710 | Other | TN | HEALTH STRATEGIES |
| 373943600 | Other | KY | OWCP KENTUCKY |
| 621753676 | Other | TN | CIGNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051388 | GA | MD | Orthopaedic Surgery Physician |
| MD15735 | TN | MD | Orthopaedic 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.
-
- Durable Medical Equipment & Medical Supplies
- Hixson, TN
- NPI 1942479548
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
- Southern Eyecare Associates Inc
- Lauren Taylor Souza, PA-C, DMS, MSW
- Amanda Yvette Sovago-Royal, LMT
- Specialized Oxygen Services, LLC
- Owen F Speer, DO
- Rebecca Spivey, PMHNP-BC
- Sarah Spurling, RN, IBCLC
- Stained Glass Collective, PLLC.
- Stained Glass Counseling, PLLC (Stained Glass Counseling)
- Standifer Orthodontics, PLLC
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.