Active NPI
Tamera Shea Spangler, D.O.
- Family Medicine Physician
- Irvine, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 03707
- Practice address
- 1100 Richmond Rd
Irvine, KY 40336-7231 - Phone
- (606) 723-7706
- Fax
- (606) 726-9410
- NPI assigned
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03707 | KY | Primary |
Addresses
Primary practice location
1100 Richmond Rd
Irvine, KY 40336-7231
Mailing address
PO Box 636493
Cincinnati, OH 45263-6493
Phone (513) 981-5130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100293400 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tspangler28670@bhkydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group IncH2 Rehabilitation Services of Kentucky, LLC
Practice addresses (Care Compare)
107 Meridian Way
Suite 200
Richmond, KY 40475-2878
Phone (859) 624-6366
193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03707 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
96 Future Dr
Corbin, KY 40701
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
107 Meridian Way
Ste 200
Richmond, KY 40475
Phone (859) 624-6366
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.
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Rural Health Clinic/Center
- Richmond, KY
- NPI 1740758325
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
-
- General Acute Care Hospital
- Richmond, KY
- NPI 1568452290
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1447457775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1316387079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636493",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636493",
"telephone_number": "513-981-5130",
"fax_number": "513-981-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 RICHMOND RD",
"city": "IRVINE",
"state": "KY",
"postal_code": "403367231",
"telephone_number": "606-723-7706",
"fax_number": "606-726-9410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANGLER",
"first_name": "TAMERA",
"middle_name": "SHEA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "03707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100293400",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tspangler28670@bhkydirect.com",
"affiliation": "N",
"address_1": "107 Meridian Way Ste 200",
"city": "Richmond",
"state": "KY",
"country_code": "US",
"postal_code": "404752878",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Irvine, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.