Organization Active NPI

Mark S Spitzer D O

  • Otolaryngology/Facial Plastic Surgery Physician
  • Merced, CA
National Provider Identifier
1265679666
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
MARK S SPITZER D O
Practice address
410 E Yosemite Ave
Suite B
Merced, CA 95340-8220
Phone
(209) 722-9272
Fax
(209) 724-9329
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Mark S. Spitzer, D. O.
Title
President
Phone
(209) 722-9272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X Primary

Addresses

Primary practice location

410 E Yosemite Ave
Suite B
Merced, CA 95340-8220

Mailing address

PO Box 3797
Merced, CA 95344-3797
Phone (209) 722-9272

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ55645YOtherCABLUE SHIELD OF CALIFORNIA

Other names 1

  • Associated ENT of Merced Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1265679666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3797",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443797",
            "telephone_number": "209-722-9272",
            "fax_number": "209-724-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E YOSEMITE AVE",
            "address_2": "SUITE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408220",
            "telephone_number": "209-722-9272",
            "fax_number": "209-724-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S SPITZER D O",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "SPITZER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-722-9272",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ55645Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated ENT of Merced",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.