Haruhauani Spruce, MD
Individual provider Active NPI Family Medicine Physician · T Or C, NM
NPI 1477546463 · NPPES record last updated Feb 18, 2012
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Feb 18, 2016.
Key facts
- NPI
- 1477546463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2002-0475 (NM)
- Practice address
- 455 S Foch St
T Or C, NM 87901-3331 - Phone
- (575) 894-4000
- Fax
- (404) 601-2761
- NPI assigned
- Aug 25, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2002-0475 | NM | Yes |
Addresses
Primary practice location
455 S Foch St
T Or C, NM 87901-3331
Mailing address
455 S Foch St
T Or C, NM 87901-3331
Phone (575) 894-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87230275 | Medicaid | NM |
Other providers in T Or C, NM
- Ashleigh Pratt
- Carol Renninger
- Darlene Rouse
- Rustic Health LLC
- Mary Rebecca Rylance
- Frank Torrez Jr.
- Sheyla Velez
- Jim Vigil
- Debbie Whitehead
- Mark Wiatt
All providers in T Or C, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.