Individual provider Active NPI

Spenser Wolken, M.D.

  • Family Medicine Physician
  • Harriman, TN
National Provider Identifier
1215318951
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57370 Issued in TN
Practice address
8045 Roane Medical Center Dr
Harriman, TN 37748-8333
Phone
(865) 316-1000
NPI assigned
Jun 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 57370 TN Primary

Addresses

Primary practice location

8045 Roane Medical Center Dr
Harriman, TN 37748-8333

Mailing address

8045 Roane Medical Center Dr
Harriman, TN 37748-8333
Phone (865) 316-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180827003716 TN Practitioner - Emergency Medicine 8729337555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arkansas College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57370TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Family Medicine CurrentSince Aug 23, 2018 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Dec 1, 2022 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

8045 Roane Medical Center Dr
Harriman, TN 37748
Phone (865) 316-1000

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

726 McFarland St
Morristown, TN 37814
Phone (423) 522-6160

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1215318951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 ROANE MEDICAL CENTER DR",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488333",
            "telephone_number": "865-316-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 ROANE MEDICAL CENTER DR",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488333",
            "telephone_number": "865-316-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKEN",
        "first_name": "SPENSER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "57370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harriman, TN

Sources for this page

Verify at the official NPI Registry.