Eric Gerald Spicuzza, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

S3750 Issued in TX

Practice address

2882 Holly Rd
Corpus Christi, TX 78415-4106

Phone

(361) 814-2001

NPI assigned

May 21, 2017

Last updated

Aug 30, 2022By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Internal Medicine

Education

Michigan State University College of Osteopathic Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Bend Wellness Foundation IncGroup PAC ID 9931422649, 13 clinicians

Vigilias LLCGroup PAC ID 9133433279, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pratt Regional Medical Center Hospital, Pratt, KS, CCN 170027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Coastal Bend Wellness Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Corpus Christi, TX
  • NPI 1144523671
  Medicare reassignment Care Compare group NPD
• Vigilias LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1407242241
  Medicare reassignment Care Compare group
• Coastal Bend Wellness Foundation Inc.

  dba Coastal Bend Wellness Pharmacy

  • Community/Retail Pharmacy
  • Corpus Christi, TX
  • NPI 1689131625
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pratt Regional Medical Center Corporation

  dba Pratt Regional Medical Center

  • Rural Acute Care Hospital
  • Pratt, KS
  • NPI 1578596904
  Care Compare affiliation

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

{
    "created_epoch": "1495324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1629505680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2882 HOLLY RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154106",
            "telephone_number": "361-814-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 HOLLY RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154106",
            "telephone_number": "361-814-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 W Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083607059",
            "country_code": "US",
            "telephone_number": "856-641-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPICUZZA",
        "first_name": "ERIC",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-21",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S3750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Spencer, MD
• Krista Michelle Spencer
• Matthew Allen Spencer Sr., LCDC-I
• Adam Laubach Spengler, M.D.
• Shelby Spenrath, DO
• Janice Carol Spigner, PT
• Tobiah Spink, PHARMD RPH
• Brooke Splechter
• Spoudazo Resources of South Texas
• Spoudazo Resources of South Texas

• Internal Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.