NPIMap

Organization Active NPI

Douglas a. Spotts, MD Family Medical Care, PC

  • Primary Care Clinic/Center
  • Lewisburg, PA
National Provider Identifier
1609867449
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD058238L Issued in PA
Legal business name
DOUGLAS A. SPOTTS, MD FAMILY MEDICAL CARE, PC
Practice address
45 Forestwood Dr
Lewisburg, PA 17837-6213
Phone
(570) 524-5050
Fax
(570) 524-5250
NPI assigned
Nov 1, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Douglas Alan Spotts, M.D.NPI 1710954797
Title
Owner
Phone
(570) 524-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD058238L PA Primary

Addresses

Primary practice location

45 Forestwood Dr
Lewisburg, PA 17837-6213

Mailing address

45 Forestwood Dr
Lewisburg, PA 17837-6213
Phone (570) 524-5050

Other identifiers 7

IdentifierTypeStateIssuer
1475996OtherPABLUE SHIELD
210181OtherPAHEALTH AMERICA
50016191OtherPABLUE CROSS
1475996OtherPAHIGHMARK
20724OtherPAGHP
0015761540005MedicaidPA
1475996OtherPAKEYSTONE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609867449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FORESTWOOD DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376213",
            "telephone_number": "570-524-5050",
            "fax_number": "570-524-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FORESTWOOD DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376213",
            "telephone_number": "570-524-5050",
            "fax_number": "570-524-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A. SPOTTS, MD FAMILY MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPOTTS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-524-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD058238L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1475996",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "210181",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50016191",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1475996",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "20724",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015761540005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "1475996",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.