Individual provider Active NPI

Kunoor Jain-Spangler, MD

  • Surgery Physician
  • Tappahannock, VA
National Provider Identifier
1326257478
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101254437 Issued in VA
Practice address
659 Hospital Rd
Riverside Medical Arts Building a, Suite 203
Tappahannock, VA 22560-7000
Phone
(804) 443-6232
Fax
(804) 443-6220
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101254437 VA Primary

Addresses

Primary practice location

659 Hospital Rd
Riverside Medical Arts Building a, Suite 203
Tappahannock, VA 22560-7000

Mailing address

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101254437VAMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: kjainspangler69651@direct.medicine.duke.edu

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1326257478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 HOSPITAL RD",
            "address_2": "RIVERSIDE MEDICAL ARTS BUILDING A, SUITE 203",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225607000",
            "telephone_number": "804-443-6232",
            "fax_number": "804-443-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN-SPANGLER",
        "first_name": "KUNOOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101254437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tappahannock, VA

Sources for this page

Verify at the official NPI Registry.