Daniel Spollen

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MT207063 Issued in PA

Practice address

375 Auburn St Apt 208
Allentown, PA 18103-3588

Phone

(770) 769-7904

NPI assigned

Jun 10, 2014

Last updated

Jun 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

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.

• Emergency Medicine Services of TN, PC

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1720785884
  Medicare reassignment NPD
• Spring Creek Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Chattanooga, TN
  • NPI 1275961799
  NPD

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1336552090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 AUBURN ST APT 208",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033588",
            "telephone_number": "770-769-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 AUBURN ST APT 208",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033588",
            "telephone_number": "770-769-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOLLEN",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT207063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Spinosi, DO
• Spiritrust Lutheran Home Care & Hospice
• Spiritrust Lutheran Home Care & Hospice (Sacred Heart Home Care & Hospice)
• Spiritrust Lutheran Home Care & Hospice (Sacred Heart Home Care & Hospice)
• Dennis J Splain, DO
• Rebecca J Spooner, LPC
• Jill Spotts
• William Lloyd Sprague, MD
• Kamille Sprenkle, P.T.
• Spring Nutrition & Wellness Company

• Emergency Medicine Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.