Active NPI
John W. Spurlock MD PC
- Gynecology Physician
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 035725E
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John W Spurlock, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F29457 | Other | UPIN | |
| 1704151 | Other | HIGHMARK BLUE SHIELD | |
| DD1455 | Other | PALMETTO GBA | |
| 50047463 | Other | CAPITAL BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1077465 | John W Spurlock MD PC | Certificate of waiver | Dec 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gynecology Physician
- Bethlehem, PA
- NPI 1093765919
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.