NPIMap

Organization Active NPI

Spero Health of West Virginia, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Clarksburg, WV
National Provider Identifier
1659949055
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
SPERO HEALTH OF WEST VIRGINIA, LLC
Practice address
95 Rosebud PLZ Ste 104
Clarksburg, WV 26301-9823
Phone
(615) 265-0371
NPI assigned
Jun 14, 2021
Last updated
Dec 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Mr. Richard Dulany Adams
Title
Cfo
Phone
(615) 265-0371

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

95 Rosebud PLZ Ste 104
Clarksburg, WV 26301-9823

Mailing address

155 Franklin Rd Ste 430
Brentwood, TN 37027-1602
Phone (615) 265-0371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220829001689 WV Part B Supplier - Clinic/Group Practice 1153705983 Receives reassigned benefits from 10 practitioners
Practice locations: Clarksburg, WV; Parkersburg, WV

National Provider Directory

National Provider Directory

Locations

95 Rosebud Plz
Ste 104
Clarksburg, WV 26301
Phone (304) 212-7482

2 Fergueson Dr
Parkersburg, WV 26101
Phone (304) 949-8536

Practitioners & affiliated clinicians

Practitioners 10

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": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1659949055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 FRANKLIN RD STE 430",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271602",
            "telephone_number": "615-265-0371",
            "fax_number": "615-844-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ROSEBUD PLZ STE 104",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019823",
            "telephone_number": "615-265-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPERO HEALTH OF WEST VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DULANY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-265-0371",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.