Individual provider Active NPI

Mark Spaw, M.D.

  • Otolaryngology Physician
  • Joplin, MO
National Provider Identifier
1184165805
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2025039094 Issued in MO
Practice address
1920 E 32ND St
Joplin, MO 64804-4103
Phone
(417) 781-4613
Fax
(417) 781-0805
NPI assigned
Mar 14, 2017
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD-20206 HI
Otolaryngology Physician 207Y00000X 105017 GA
Otolaryngology Physician 207Y00000X 2025039094 MO Primary

Addresses

Primary practice location

1920 E 32ND St
Joplin, MO 64804-4103

Mailing address

1920 E 32ND St
Joplin, MO 64804-4103
Phone (417) 781-4613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260513000278 MO Practitioner - Otolaryngology 5799254389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Missouri, Kansas City, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otolaryngology of JoplinGroup PAC ID 1153340278, 4 clinicians

Practice addresses (Care Compare)

1920 E 32ND St
Joplin Ear Nose and Throat
Joplin, MO 64804-4103
Phone (417) 781-4613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105017GAMDOtolaryngology Physician
MD-20206HIMDOtolaryngology Physician
2025039094MOMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology of Joplin Otolaryngology CurrentSince Mar 24, 2026 Accepting new patients
Hand and Microsurgery Associates, LLC PastSince Mar 24, 2026 Accepting new patients

Locations

1920 E 32nd St
Joplin, MO 64804
Phone (417) 621-9000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1184165805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044103",
            "telephone_number": "417-781-4613",
            "fax_number": "417-781-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044103",
            "telephone_number": "417-781-4613",
            "fax_number": "417-781-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAW",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-14",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "HI",
            "license": "MD-20206",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "105017",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2025039094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.