Active NPI
Earle W. Spohn Jr. D.O. P.C.
- Surgery Physician
- Bloomfield Hills, MI
National Provider Identifier
1578887535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5101005851
- Legal business name
- EARLE W. SPOHN JR. D.O. P.C.
- Practice address
- 27 Balfour Dr
Bloomfield Hills, MI 48304 - Phone
- (248) 646-8411
- Fax
- (248) 646-2296
- NPI assigned
- Mar 19, 2010
- Organization subpart
- Yes
- Parent organization
- EARLE W. SPOHN JR. D.O.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Earle W Spohn Jr., DO
- Title
- President-Sole Proprietor
- Phone
- (248) 646-8411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101005851 | MI | Primary |
Addresses
Primary practice location
27 Balfour Dr
Bloomfield Hills, MI 48304
Mailing address
27 Balfour Dr
Bloomfield Hills, MI 48304
Phone (248) 646-8411
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0258217514 | Other | MI | BCBS |
| 1561975 | Medicaid | MI |
National Provider Directory
National Provider Directory- Part of
- Earle Spohn DO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280275200000",
"number": "1578887535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 BALFOUR DR",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "48304",
"telephone_number": "248-646-8411",
"fax_number": "248-646-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 BALFOUR DR",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "48304",
"telephone_number": "248-646-8411",
"fax_number": "248-646-2296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EARLE W. SPOHN JR. D.O. P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EARLE W. SPOHN JR. D.O.",
"enumeration_date": "2010-03-19",
"last_updated": "2010-07-28",
"status": "A",
"authorized_official_last_name": "SPOHN",
"authorized_official_first_name": "EARLE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT-SOLE PROPRIETOR",
"authorized_official_telephone_number": "248-646-8411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MI",
"license": "5101005851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0258217514",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1561975",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.