Active NPI
Ralph Spinuzzi, M.D.
- Pediatrics Physician
- Pueblo, CO
National Provider Identifier
1407163488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18052
- Practice address
- 6234 W State Highway 78
Pueblo, CO 81005-9622 - Phone
- (719) 561-3945
- NPI assigned
- Sep 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 18052 | CO | Primary |
Addresses
Primary practice location
6234 W State Highway 78
Pueblo, CO 81005-9622
Mailing address
6234 W State Highway 78
Pueblo, CO 81005-9622
Phone (719) 561-3945
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18052 | CO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1407163488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6234 W STATE HIGHWAY 78",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810059622",
"telephone_number": "719-561-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6234 W STATE HIGHWAY 78",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810059622",
"telephone_number": "719-561-3945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINUZZI",
"first_name": "RALPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-11",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "18052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.