Active NPI
Laura G. Sporl, MD
- Obstetrics & Gynecology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD00047209
- Practice address
- 4215 49TH Ave NE
Tacoma, WA 98422-2421 - Phone
- (253) 459-7699
- Fax
- (253) 459-7675
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 10073R | LA | |
| Obstetrics & Gynecology Physician | 207V00000X | MD00047209 | WA | Primary |
Addresses
Primary practice location
4215 49TH Ave NE
Tacoma, WA 98422-2421
Mailing address
4215 49TH Ave NE
Tacoma, WA 98422-2421
Phone (253) 459-7699
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3374SP | Other | WA | BLUE SHIELD VM |
| 1686450 | Medicaid | LA | |
| 5812274 | Other | WA | AETNA SPECIALIST PIN VM |
| 8481152 | Medicaid | WA | |
| P00394683 | Other | WA | RAILROAD MC # VM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, VI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9946 | LA | MD | Mental Health Counselor |
| 10073R | LA | MD | Cardiovascular Disease Physician |
| MD00047209 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Crescent City Physicians, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
4215 49th Ave NE
Tacoma, WA 98422
Phone (253) 459-7699
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Schneider Regional Medical Center
- General Acute Care Hospital
- St Thomas, VI
- NPI 1487699047
-
dba Covington MultiCare Clinic
- Family Medicine Physician
- Covington, WA
- NPI 1093768657
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1689722340
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1437171238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 49TH AVE NE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984222421",
"telephone_number": "253-459-7699",
"fax_number": "253-459-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 49TH AVE NE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984222421",
"telephone_number": "253-459-7699",
"fax_number": "253-459-7675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPORL",
"first_name": "LAURA",
"middle_name": "G.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "LA",
"license": "10073R",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD00047209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD VM",
"identifier": "3374SP",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1686450",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA SPECIALIST PIN VM",
"identifier": "5812274",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8481152",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MC # VM",
"identifier": "P00394683",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.