Individual provider Active NPI

Joshua Lee Spake, D.O.

  • Family Medicine Physician
  • Thompson Falls, MT
National Provider Identifier
1700319860
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26132 Issued in MS
Practice address
120 Pond St
Thompson Falls, MT 59873-7722
Phone
(406) 827-4442
NPI assigned
Apr 6, 2017
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26132 MS Primary

Addresses

Primary practice location

120 Pond St
Thompson Falls, MT 59873-7722

Mailing address

120 Pond St
Thompson Falls, MT 59873-7722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230202001475 MT Practitioner - Family Practice 7315219755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
William Carey University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plains Hospital CorporationGroup PAC ID 4183691132, 29 clinicians

Practice addresses (Care Compare)

10 Kruger Rd
Plains, MT 59859-9262

10 Kruger Rd
Plains, MT 59859-9271
Phone (406) 826-4813

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26132MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plains Hospital Corporation CurrentSince Mar 7, 2023 Accepting new patients
Plains Hospital Corporation CurrentSince Mar 7, 2023 Accepting new patients
Hattiesburg Clinic PA Family Medicine PastSince Aug 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jspake2706464@wm.providencedirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1700319860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 POND ST",
            "city": "THOMPSON FALLS",
            "state": "MT",
            "postal_code": "598737722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 POND ST",
            "city": "THOMPSON FALLS",
            "state": "MT",
            "postal_code": "598737722",
            "telephone_number": "406-827-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAKE",
        "first_name": "JOSHUA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "26132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thompson Falls, MT

Sources for this page

Verify at the official NPI Registry.