Organization Active NPI

John W. Spurlock MD PC

  • Gynecology Physician
  • Bethlehem, PA
National Provider Identifier
1407899172
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
035725E Issued in PA
Legal business name
JOHN W. SPURLOCK MD PC
Practice address
433 E Broad St
Bethlehem, PA 18018-6336
Phone
(610) 868-5780
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
John W Spurlock, MDNPI 1093765919
Title
Owner
Phone
(610) 868-5780

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 035725E PA Primary

Addresses

Primary practice location

433 E Broad St
Bethlehem, PA 18018-6336

Mailing address

433 E Broad St
Bethlehem, PA 18018-6336
Phone (610) 868-5780

Other identifiers 4

IdentifierTypeStateIssuer
F29457OtherUPIN
1704151OtherHIGHMARK BLUE SHIELD
DD1455OtherPALMETTO GBA
50047463OtherCAPITAL BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050510000423 PA Part B Supplier - Clinic/Group Practice 8022058940 Receives reassigned benefits from 1 practitioner
Practice locations: Bethlehem, PA; Palmerton, PA

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
39D1077465John W Spurlock MD PC433 E Broad Street, Bethlehem, PA 18018Certificate of waiverDec 10, 2027

National Provider Directory

National Provider Directory

Locations

433 E Broad St
Unit 1
Bethlehem, PA 18018
Phone (610) 868-5780

433 E Broad St
Bethlehem, PA 18018
Phone (610) 807-0218

Practitioners & affiliated clinicians

Practitioners 1

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1407899172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186336",
            "telephone_number": "610-868-5780",
            "fax_number": "610-868-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186336",
            "telephone_number": "610-868-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. SPURLOCK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "SPURLOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-868-5780",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "035725E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F29457",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1704151",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DD1455",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50047463",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.