A. Douglas Spitalny, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

748 Issued in MN

Practice address

MCXP-CCS-CR
General Leonard Wood Community Hospital
Ft. Leonard Wood, MO 65473-1267

Phone

(573) 596-1764

NPI assigned

Jun 13, 2006

Last updated

Feb 13, 2023By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Orthopaedic Specialists of the Four States LLC

  • Orthopaedic Surgery Physician
  • Galena, KS
  • NPI 1316019193
  NPD (past)
• Orthopaedic Specialists of the Four States LLC

  dba Ortho4States DME

  • Durable Medical Equipment & Medical Supplies
  • Pittsburg, KS
  • NPI 1467799106
  NPD (past)
• The Duluth Clinic, LTD.

  dba Essentia Health Hinckley Pharmacy

  • Community/Retail Pharmacy
  • Hinckley, MN
  • NPI 1245081066
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1568405330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2546",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032546",
            "telephone_number": "620-783-4441",
            "fax_number": "620-783-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCXP-CCS-CR",
            "address_2": "GENERAL LEONARD WOOD COMMUNITY HOSPITAL",
            "city": "FT. LEONARD WOOD",
            "state": "MO",
            "postal_code": "654731267",
            "telephone_number": "573-596-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITALNY",
        "first_name": "A.",
        "middle_name": "DOUGLAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "748",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MN",
            "license": "748",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "594197100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Daun Smith, ATC
• Joshua Aaron Smith
• Kristine Anne Smith, ACNP, CRNA
• Darla Snyder
• Ronald G. Snyder, PA-C
• Brandon Stanley
• Shannon Starnes
• Pamela Staso, ATC
• Mary H Staudter, MS, RD, LD
• Mary Ann Stearn, MSW, LCSW

• Foot & Ankle Surgery Podiatrist in Fort Leonard Wood, MO
• Providers in Fort Leonard Wood, MO by specialty
• Foot & Ankle Surgery Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.

Verify at the official NPI Registry.