Active NPI
Stephen Spano, BA, MBA, JD, CELA
- Legal Medicine
- Saugus, MA
National Provider Identifier
1184072084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 563975
- Practice address
- 605 Broadway Ste 201
Saugus, MA 01906-3200 - Phone
- (781) 231-7800
- Fax
- (781) 231-7900
- NPI assigned
- Jun 1, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 563975 | MA | Primary |
Addresses
Primary practice location
605 Broadway Ste 201
Saugus, MA 01906-3200
Mailing address
PO Box 1345
Saugus, MA 01906-0645
Phone (781) 231-7800
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
- Credentials
- Bachelor of Arts, Juris Doctor, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 563975 | MA | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1184072084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1345",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019060645",
"telephone_number": "781-231-7800",
"fax_number": "781-231-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 BROADWAY STE 201",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019063200",
"telephone_number": "781-231-7800",
"fax_number": "781-231-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANO",
"first_name": "STEPHEN",
"credential": "BA, MBA, JD, CELA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-01",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "MA",
"license": "563975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saugus, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.