Active NPI
George Spoto, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- St Petersburg, FL
National Provider Identifier
1336113190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- ME33068
- Practice address
- 6006 49TH St N
Suite 310
St Petersburg, FL 33709-2148 - Phone
- (727) 490-5040
- Fax
- (727) 490-5045
- NPI assigned
- Feb 16, 2006
- Last updated
- Nov 30, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME33068 | FL | Primary |
Addresses
Primary practice location
6006 49TH St N
Suite 310
St Petersburg, FL 33709-2148
Mailing address
6006 49TH St N
Suite 310
St Petersburg, FL 33709-2148
Phone (727) 490-5040
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202698 | Other | FL | AVMED |
| 211416 | Other | FL | WELLCARE |
| 0078127 | Other | FL | CIGNA |
| 3306330 | Other | FL | AETNA |
| 62134 | Other | FL | BCBS |
| 211416 | Other | FL | STAYWELL |
| 380115 | Other | FL | UNITED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME33068 | FL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1336113190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6006 49TH ST N",
"address_2": "SUITE 310",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092148",
"telephone_number": "727-490-5040",
"fax_number": "727-490-5045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6006 49TH ST N",
"address_2": "SUITE 310",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092148",
"telephone_number": "727-490-5040",
"fax_number": "727-490-5045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOTO",
"first_name": "GEORGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME33068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "202698",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "211416",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0078127",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3306330",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "62134",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL",
"identifier": "211416",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "380115",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
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- Nicolette Sponer, PHARMD
- Spop LLC
- Sports and Orthopedic Rehabilitation Services Inc (Select Physical Therapy)
- Sports and Orthopedic Rehabilitation Services Inc (Select Physical Therapy)
- Misty Gayle Spradlin
- Danielle Rene Spratt, DC
- Ashley Spring, LCSW
- Springer Chiropractic Inc. (Northeast Chiropractic Center)
- Eric Springer, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.