Active NPI
Mark S Spitzer D O
- Otolaryngology/Facial Plastic Surgery Physician
- Merced, CA
National Provider Identifier
1265679666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ55645Y | Other | CA | BLUE SHIELD OF CALIFORNIA |
Other names 1
- Associated ENT of Merced
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Merced, CA
- NPI 1114079050
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.