Active NPI
Spencer Patrick Erdman, MA-SLP
- Speech-Language Pathologist
- Wyoming, MI
National Provider Identifier
1700546157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2060 Health Dr SW
Wyoming, MI 49519-9687 - Phone
- (616) 333-1200
- NPI assigned
- Dec 27, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2060 Health Dr SW
Wyoming, MI 49519-9687
Mailing address
1944 Buttrick Ave SE
Ada, MI 49301-9204
Phone (616) 799-1593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241022002853 | MI | Practitioner - Qualified Speech Language Pathologist | 4385176841 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tmi East Inc
Practice addresses (Care Compare)
1725 Port Sheldon St
Jenison, MI 49428-9002
Phone (810) 701-4633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1700546157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1944 BUTTRICK AVE SE",
"city": "ADA",
"state": "MI",
"postal_code": "493019204",
"telephone_number": "616-799-1593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 HEALTH DR SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199687",
"telephone_number": "616-333-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDMAN",
"first_name": "SPENCER",
"middle_name": "PATRICK",
"credential": "MA-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-27",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.