Active NPI
William John Spina, MD
- Orthopaedic Surgery Physician
- Colebrook, NH
National Provider Identifier
1396728788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- NH7773
- Practice address
- 181 Corliss LN
Upper Connecticut Valley Hospital
Colebrook, NH 03576-3207 - Phone
- (603) 237-4971
- Fax
- (603) 237-4145
- NPI assigned
- Nov 21, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NH7773 | NH | Primary |
Addresses
Primary practice location
181 Corliss LN
Upper Connecticut Valley Hospital
Colebrook, NH 03576-3207
Mailing address
181 Corliss LN
Colebrook, NH 03576-3207
Phone (603) 237-4971
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005218 | Medicaid | VT | |
| 0101645YONH08 | Other | ANTHEM | |
| 732381 | Other | NH | CIGNA |
| 1645 | Other | VT | BCBS |
| 785643 | Other | NH | MVP |
| D03519 | Other | HARVARD PIL | |
| 30002254 | Medicaid | NH | |
| 785645 | Other | TRICARE | |
| 0101645YCNH07 | Other | W/I/C |
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 |
|---|---|---|---|
| NH7773 | NH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Connecticut Valley Hospital Association | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Colebrook, NH
- NPI 1861489437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1396728788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 CORLISS LN",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "035763207",
"telephone_number": "603-237-4971",
"fax_number": "603-237-4594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 CORLISS LN",
"address_2": "UPPER CONNECTICUT VALLEY HOSPITAL",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "035763207",
"telephone_number": "603-237-4971",
"fax_number": "603-237-4145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINA",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NH",
"license": "NH7773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005218",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0101645YONH08",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "732381",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1645",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "785643",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PIL",
"identifier": "D03519",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30002254",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "785645",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "W/I/C",
"identifier": "0101645YCNH07",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colebrook, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.