Spetman and Ivey PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H3527 Issued in TX

Legal business name

SPETMAN AND IVEY PA

Doing business as

Willow Park Medical Associates

Practice address

132 El Chico TRL
Willow Park, TX 76087-8865

Phone

(817) 441-9252

NPI assigned

Nov 13, 2007

Last updated

Nov 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karen L Spetman, MD

Title

Owner/Physician

Phone

(817) 441-9252

Specialties & licenses 1

Addresses

Other names 1

• Willow Park Medical Associates Doing business as

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1215117650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 EL CHICO TRL",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760878865",
            "telephone_number": "817-441-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 EL CHICO TRL",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760878865",
            "telephone_number": "817-441-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPETMAN AND IVEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "SPETMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "817-441-9252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H3527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Park Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chrystal Sisk, LPC-A
• Ashlee Skrhak, CPNP-PC
• Arthur H Smith-Vaughan
• Shawn Smith
• Daniel Jonathan Snyder, FNP
• Matt Stewart, PT
• Robert Casey Stroud
• John Bradford Struble, D.D.S.
• Sakthiraj Subramanian, MD
• Shams S.M. Tabrez, M.D.

• Internal Medicine Physician in Willow Park, TX
• Providers in Willow Park, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.