Norman P Spack, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

36582 Issued in MA

Practice address

333 Longwood Ave
Floor 6
Boston, MA 02115-5711

Phone

(617) 355-5070

Fax

(617) 730-0194

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1497832240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SALISBURY RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024452107",
            "telephone_number": "617-738-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LONGWOOD AVE",
            "address_2": "FLOOR 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155711",
            "telephone_number": "617-355-5070",
            "fax_number": "617-730-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPACK",
        "first_name": "NORMAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "36582",
            "primary": true
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MA",
            "license": "36582",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2045760",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Alan Souza Jr.
• Michael Sova
• Colin M Sox, MD
• Charounipha Soydara, NP-C
• Spa2Biz
• Ruggero Spadafora, M.D.
• Kristin Michelle Spadaro
• Alexandra C Spadola, M.D.
• Jessica Emma Spagnoli, LCSW
• Genevieve Marie Spagnuolo, MD

• Pediatrics Physician in Boston, MA
• Providers in Boston, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.