Spring Medical Center PLLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

01066757C Issued in IN

Legal business name

SPRING MEDICAL CENTER PLLC

Doing business as

AAA Weight Loss

Practice address

945 Wall St
Jeffersonville, IN 47130-3620

Phone

(812) 725-7187

Fax

(812) 777-4492

NPI assigned

Nov 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Osawaru Jude Omoruyi, MDNPI 1396961967

Title

President

Phone

(812) 725-7187

Specialties & licenses 1

Addresses

Other names 1

• AAA Weight Loss Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Osawaru Jude Omoruyi, M.D

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1396961967

  Geriatric Medicine

  NPD Authorized official

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484352000000",
    "number": "1689116105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 WALL ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303620",
            "telephone_number": "812-725-7187",
            "fax_number": "812-777-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 WALL ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303620",
            "telephone_number": "812-725-7187",
            "fax_number": "812-777-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2017-01-14",
        "status": "A",
        "authorized_official_last_name": "OMORUYI",
        "authorized_official_first_name": "OSAWARU",
        "authorized_official_middle_name": "JUDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-725-7187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "01066757C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAA Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly J Speth, NP-C
• Rachel Kaplan Spiegel, MA CCC-SLP
• Jessica Barbara Spindel, M.S.A.C.N., D.C.
• Tabitha Sprigler
• Spring Hill Internal Medicine
• Spring Street Dental
• Haley Springer
• Gabor Spruch, D.C
• Ssa Ventures
• Ssa Ventures, LLC

• Geriatric Medicine (Family Medicine) Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Geriatric Medicine (Family Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; 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.