Individual provider Active NPI

Jonathan M Spanier, MD

  • Pediatrics Physician
  • Nashville, TN
National Provider Identifier
1154351690
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
40843 Issued in TN
Practice address
330 Wallace Rd
Ste 109
Nashville, TN 37211
Phone
(615) 832-5612
Fax
(615) 331-5133
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 40843 TN Primary

Addresses

Primary practice location

330 Wallace Rd
Ste 109
Nashville, TN 37211

Mailing address

515 Stonecrest Pkwy
Ste 210
Smyrna, TN 37167-6826
Phone (615) 625-7112

Other identifiers 1

IdentifierTypeStateIssuer
5440833MedicaidTN

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Pediatrics PC Pediatrics PastSince Oct 1, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jonathan.spanier@tnpeds.eclinicaldirectplus.com
  • Direct secure messaging: jonathan.spanier.1@31800.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1154351690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 STONECREST PKWY",
            "address_2": "STE 210",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676826",
            "telephone_number": "615-625-7112",
            "fax_number": "615-625-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WALLACE RD",
            "address_2": "STE 109",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37211",
            "telephone_number": "615-832-5612",
            "fax_number": "615-331-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANIER",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "40843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440833",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.