NPIMap

Organization Active NPI

Keith Ian Garnet Spooner

  • Obstetrics & Gynecology Physician
  • Cleveland, TX
National Provider Identifier
1407042971
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G2229 Issued in TX
Legal business name
KEITH IAN GARNET SPOONER
Practice address
117 S William Barnett Ave
Suite a
Cleveland, TX 77327-4541
Phone
(281) 593-1660
Fax
(281) 593-0730
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Keith I.G. Spooner, M.D.NPI 1821171166
Title
Owner
Phone
(281) 593-1660

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
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X G2229 TX Primary

Addresses

Primary practice location

117 S William Barnett Ave
Suite a
Cleveland, TX 77327-4541

Mailing address

117 S William Barnett Ave
Suite a
Cleveland, TX 77327-4541
Phone (281) 593-1660

Other identifiers 1

IdentifierTypeStateIssuer
00997UOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

301 Sleepy Hollow Dr
Ste B
Cleveland, TX 77327
Phone (281) 593-1660

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1407042971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S WILLIAM BARNETT AVE",
            "address_2": "SUITE A",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274541",
            "telephone_number": "281-593-1660",
            "fax_number": "281-593-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S WILLIAM BARNETT AVE",
            "address_2": "SUITE A",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274541",
            "telephone_number": "281-593-1660",
            "fax_number": "281-593-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH IAN GARNET SPOONER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "I.G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-593-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G2229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00997U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.