Eric M Spivack, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME 50897 Issued in FL

Practice address

21110 Biscayne Blvd
Ste 208
Aventura, FL 33180-1251

Phone

(305) 692-9299

Fax

(305) 692-8668

NPI assigned

Jan 5, 2007

Last updated

Jan 2, 2014By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Biscayne Echo Associates Inc

  • Cardiovascular Disease Physician
  • Aventura, FL
  • NPI 1013924646
  Medicare reassignment NPD
• Biscayne Ekg Associates Inc

  • Cardiovascular Disease Physician
  • Aventura, FL
  • NPI 1447267034
  Medicare reassignment NPD
• Cardiocare of South Florida PA

  • Cardiovascular Disease Physician
  • Aventura, FL
  • NPI 1588680797
  Authorized official Same address or phone
• All Specialty Care PA

  • Cardiovascular Disease Physician
  • Davie, FL
  • NPI 1063468122
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1336296789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD",
            "address_2": "STE 208",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-692-9299",
            "fax_number": "888-243-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD",
            "address_2": "STE 208",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801251",
            "telephone_number": "305-692-9299",
            "fax_number": "305-692-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVACK",
        "first_name": "ERIC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 50897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047753200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Specialty Now Corp
• Speech & Resource Group, Inc
• Olufunmike Spencer, APRN
• Spine Specialists of South Florida LLC (Spine and Orthopedic Specialists of South Florida)
• Roger Daniel Spitzer, M.D.
• Tyler Sponder, AUD
• Diana Sredni, MD
• Elizabeth Susan Stadtlander, LMFT, MHC
• Staging Stones LLC
• Staging Stones LLC

• Cardiovascular Disease Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.