Thomas Christopher Spalla, M.D.

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

License

MD440916 Issued in PA

Practice address

3 Cooper PLZ
Camden, NJ 08103-1438

Phone

(856) 342-3113

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tspalla170847@direct-guthrie.org
• Direct secure messaging: tspalla250450@direct-lghealth.org

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.

• Cooper Surgical Associates, PA

  • Orthopaedic Surgery Physician
  • Voorhees, NJ
  • NPI 1427177195

  Single Specialty

  Medicare reassignment NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868

  Single Specialty

  Medicare reassignment NPD
• Guthrie Medical Group, P.C.

  • Family Medicine Physician
  • Athens, PA
  • NPI 1962451153

  Single Specialty

  Medicare reassignment NPD
• Lancaster General Medical Group

  dba Penn Medicine LGHP Behavioral Health

  • Psychiatry Physician
  • Lancaster, PA
  • NPI 1952392383

  Single Specialty

  Medicare reassignment NPD
• Upmc Altoona Regional Health Services, Inc

  dba Blair Medical Associates

  • Family Medicine Physician
  • Altoona, PA
  • NPI 1396724217

  Single Specialty

  Medicare reassignment NPD
• Philadelphia Facial Plastic Surgery & Medspa

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Philadelphia, PA
  • NPI 1598503633

  Single Specialty

  NPD Authorized official
• Thomas C. Spalla, MD LLC

  • Specialist
  • Gulf Shores, AL
  • NPI 1679894885

  Single Specialty

  NPD (past) Authorized official
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023

  Single Specialty

  NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Mountain Top, PA
  • NPI 1922392372
  NPD
• Guthrie Medical Group, P.C.

  • General Practice Physician
  • Sayre, PA
  • NPI 1245246644

  Single Specialty

  NPD
• Guthrie Medical Group, P.C.

  • Otolaryngology Physician
  • Sayre, PA
  • NPI 1760434112

  Single Specialty

  NPD
• Lancaster General Medical Group

  • Obstetrics & Gynecology Physician
  • Lancaster, PA
  • NPI 1306724570
  NPD

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1174732200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N 5TH ST",
            "address_2": "SUITE 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19123",
            "telephone_number": "215-273-3223",
            "fax_number": "215-714-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALLA",
        "first_name": "THOMAS",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD440916",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA09190600",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "PA",
            "license": "MD440916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Jersey Behavioral Health Resources, Inc.
• South Jersey Behavioral Health Resources, Inc.
• South Jersey Behavioral Health Resources, Inc.
• South Jersey Eye Center, Inc.
• South Jesery Behavorial Resource
• Jordan Leigh Marlene Spaude, MD
• Sean David Spector, MD
• Renee Spencer
• Antoinette Spevetz, M.D.
• Francis R Spitz, MD

• Plastic Surgery Physician in Camden, NJ
• Providers in Camden, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.