Individual provider Active NPI

Ira Lawrence Spar, MDPC

  • Orthopaedic Hand Surgery Physician
  • Plantsville, CT
National Provider Identifier
1346207990
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
017525 Issued in CT
Practice address
620 Main St
Plantsville, CT 06479-1538
Phone
(860) 628-8789
Fax
(860) 628-9863
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 017525 CT Primary

Addresses

Primary practice location

620 Main St
Plantsville, CT 06479-1538

Mailing address

620 Main St
Plantsville, CT 06479-1538
Phone (860) 628-8789

Other identifiers 1

IdentifierTypeStateIssuer
1175256MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20080514000286 CT Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 8729157938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
George Washington University School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

620 Main St
Plantsville, CT 06479-1538
Phone (860) 628-8789

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017525CTMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ira Spar, MDPC Hand Surgery CurrentSince Oct 10, 1986 Accepting new patients
Ira Spar MD PC Hand Surgery CurrentSince Oct 10, 1986 Accepting new patients

Locations

620 Main St
Plantsville, CT 06479
Phone (860) 628-8789

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1346207990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791538",
            "telephone_number": "860-628-8789",
            "fax_number": "860-628-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791538",
            "telephone_number": "860-628-8789",
            "fax_number": "860-628-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAR",
        "first_name": "IRA",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MDPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CT",
            "license": "017525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1175256",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantsville, CT

Sources for this page

Verify at the official NPI Registry.