Active NPI
Gizelle A Spurgeon, MD
- Neurology Physician
- Santa Fe, NM
National Provider Identifier
1396831558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD2008-0377
- Practice address
- 23 Calle Aguila
Santa Fe, NM 87508-5900 - Phone
- (505) 471-2241
- NPI assigned
- Oct 5, 2006
- Last updated
- Dec 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25032 | WI | |
| Neurology Physician | 2084N0400X | MD2008-0377 | NM | Primary |
Addresses
Primary practice location
23 Calle Aguila
Santa Fe, NM 87508-5900
Mailing address
23 Calle Aguila
Santa Fe, NM 87508-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25032 | WI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Allied Physicians LLC | Current | Accepting new patients | |
| Northwest Allied Physicians, LLC | Current | Accepting new patients |
Locations
8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Tucson, AZ
- NPI 1003833179
-
- Durable Medical Equipment & Medical Supplies
- Oro Valley, AZ
- NPI 1821302910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418428800000",
"number": "1396831558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CALLE AGUILA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875085900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 CALLE AGUILA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875085900",
"telephone_number": "505-471-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPURGEON",
"first_name": "GIZELLE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2014-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "25032",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NM",
"license": "MD2008-0377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.