Organization Active NPI

Spafford Health and Wellness, PLLC

  • Family Medicine Physician
  • Spring, TX
National Provider Identifier
1396310314
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SPAFFORD HEALTH AND WELLNESS, PLLC
Practice address
7109 FM 2920 Rd Ste 100
Spring, TX 77379-2215
Phone
(832) 761-7290
Fax
(346) 808-5632
NPI assigned
May 21, 2021
Last updated
May 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Andrew D. Spafford, MDNPI 1033265137
Title
Owner / Physician
Phone
(281) 865-7884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

7109 FM 2920 Rd Ste 100
Spring, TX 77379-2215

Mailing address

7109 FM 2920 Rd Ste 100
Spring, TX 77379-2215
Phone (832) 761-7290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210610002566 TX Part B Supplier - Clinic/Group Practice 7618377706 Receives reassigned benefits from 1 practitioner
Practice locations: Spring, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2224922Spafford Health and Wellness7109 FM 2920 Suite 100, Spring, TX 77379Certificate of waiverMay 16, 2027

National Provider Directory

National Provider Directory

Locations

7109 FM 2920 Rd
Ste 100
Spring, TX 77379
Phone (832) 761-7290

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1396310314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 FM 2920 RD STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792215",
            "telephone_number": "832-761-7290",
            "fax_number": "346-808-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 FM 2920 RD STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792215",
            "telephone_number": "832-761-7290",
            "fax_number": "346-808-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAFFORD HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "SPAFFORD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "281-865-7884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.