Thomas James Spackman, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

012543 Issued in CT

Practice address

351 Westwind CT
Vero Beach, FL 32963

Phone

(772) 589-2409

NPI assigned

Mar 28, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Thomas James Spackman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1326381369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 WESTWIND CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32963",
            "telephone_number": "772-388-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WESTWIND CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32963",
            "telephone_number": "772-589-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPACKMAN",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "012543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "SPACKMAN",
            "middle_name": "JAMES",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Samantha Soss
• Nathaniel Soter, DNP
• Paola A Soto Ruiz, LCSW
• Eliezer Soto, M.D.
• Dilsa Marie Souffrant, DO
• Ralph Michael Spadafore Jr., R.PH
• Spallone Family Dentistry & Associates
• Tiffany Ann Spallone, D.M.D.P.A.
• Alec Michael Spano, DPT
• Gary M Sparkman, P.A.

• Diagnostic Radiology Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.