Michael George Spaeder, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA002025L Issued in PA

Practice address

1550 Rodney Rd
York, PA 17408-9715

Phone

(717) 846-8791

Fax

(717) 845-1093

NPI assigned

Feb 14, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Sadler Health Center Corporation

  • Federally Qualified Health Center (FQHC)
  • Carlisle, PA
  • NPI 1467494823
  Medicare reassignment
• Sadler Health Center Corporation

  • Federally Qualified Health Center (FQHC)
  • Mechanicsburg, PA
  • NPI 1619681616
  NPD

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1194064923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 RODNEY RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174089715",
            "telephone_number": "717-846-8791",
            "fax_number": "717-845-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 RODNEY RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174089715",
            "telephone_number": "717-846-8791",
            "fax_number": "717-845-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAEDER",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-14",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002025L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BS",
            "identifier": "2886481",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA PC",
            "identifier": "50115603",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dan Sotirescu, M.D.
• Holly Sottiaux
• Sound Health Counseling Solutions, LLC
• Southerncare, Inc.
• Southfield Anesthesia, L.L.C.
• Chasity Nicole Spagnola, D.O.
• Natalie Spagnola, D.C.
• James D Spangler, M.S.
• Jay F Spangler
• Mitchell William Spangler, MA

• Physician Assistant in York, PA
• Providers in York, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.