Martin Stefan Spahn, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

3471 Issued in SD

Practice address

211 Founders Park Dr
Suite 3
Rapid City, SD 57701-8098

Phone

(605) 791-5959

Fax

(605) 791-5960

NPI assigned

Jun 21, 2006

Last updated

May 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Founders Park Clinic, PLLC

  • Primary Care Clinic/Center
  • Rapid City, SD
  • NPI 1386927465
  NPD (past) Authorized official

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1417993353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FOUNDERS PARK DR",
            "address_2": "SUITE 3",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018098",
            "telephone_number": "605-791-5959",
            "fax_number": "605-791-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FOUNDERS PARK DR",
            "address_2": "SUITE 3",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018098",
            "telephone_number": "605-791-5959",
            "fax_number": "605-791-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAHN",
        "first_name": "MARTIN",
        "middle_name": "STEFAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SD",
            "license": "3471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6702250",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norman N. Sorensen, MA
• Paula Sorensen, O.D.
• Myron P Sorestad, R.P.T.
• South Dakota Cares Inc.
• Nicole Sowards
• Nickolaus A. Spain, CRNA
• Carol Spangler, CNP
• John G Spangler, M.D.
• Rebecca Spangler, OTD, OTR/L
• Speech and Language Studio of the Black Hills

• Pediatrics Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Pediatrics Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.