Active NPI
Marc J Spelar, M.D.
- Psychiatry Physician
- Huntington, WV
National Provider Identifier
1154550648
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Feb 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25264
- Practice address
- 5600 US Route 60
Huntington, WV 25705-2146 - Phone
- (304) 399-1177
- Fax
- (304) 399-3700
- NPI assigned
- Jul 7, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT195698 | PA | |
| Psychiatry Physician | 2084P0800X | 25264 | WV | Primary |
Addresses
Primary practice location
5600 US Route 60
Huntington, WV 25705-2146
Mailing address
511 Morris St
Department of Behavioral Medicine
Charleston, WV 25301-1326
Phone (304) 341-0511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005355002 | Medicaid | WV |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT195698 | PA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388016000000",
"number": "1154550648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 MORRIS ST",
"address_2": "DEPARTMENT OF BEHAVIORAL MEDICINE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011326",
"telephone_number": "304-341-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 US ROUTE 60",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257052146",
"telephone_number": "304-399-1177",
"fax_number": "304-399-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPELAR",
"first_name": "MARC",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-07",
"last_updated": "2013-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT195698",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "25264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005355002",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.