Active NPI
Stuart Keith Spitzer, M.D.
- Addiction Medicine (Preventive Medicine) Physician
- Kaufman, TX
National Provider Identifier
1699763078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- J6740
- Practice address
- 874 Ed Hall Dr
Ste. 107
Kaufman, TX 75142-1861 - Phone
- (972) 932-5559
- Fax
- (972) 932-5581
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | J6740 | TX | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | J6740 | TX | Primary |
Addresses
Primary practice location
874 Ed Hall Dr
Ste. 107
Kaufman, TX 75142-1861
Mailing address
PO Box 975341
Dallas, TX 75397-0001
Phone (972) 932-5559
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00210901 | Other | TX | MEDICARE RAILROAD |
| 8F3312 | Other | TX | BLUE SHIELD |
| 045579203 | Medicaid | TX | |
| 045579202 | Medicaid | TX | |
| 8K9466 | Other | TX | BLUE SHIELD - THG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deuteronomy | Past | Accepting new patients | |
| Athens Surgical Assoc., P a | Surgery | Past | Accepting new patients |
Interoperability endpoints
- stuart.spitzer@202362935902212.direct.elationemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Athens, TX
- NPI 1487787198
-
- General Practice Physician
- Bedford, TX
- NPI 1013938125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1699763078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 975341",
"city": "DALLAS",
"state": "TX",
"postal_code": "753970001",
"telephone_number": "972-932-5559",
"fax_number": "972-932-5581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 ED HALL DR",
"address_2": "STE. 107",
"city": "KAUFMAN",
"state": "TX",
"postal_code": "751421861",
"telephone_number": "972-932-5559",
"fax_number": "972-932-5581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPITZER",
"first_name": "STUART",
"middle_name": "KEITH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "J6740",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "TX",
"license": "J6740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00210901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "8F3312",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045579203",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045579202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD - THG",
"identifier": "8K9466",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kaufman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.