Individual provider Active NPI

Joseph Donald Spennetta, M.D.

  • Emergency Medicine Physician
  • Seneca, SC
National Provider Identifier
1700993458
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
33052 Issued in SC
Practice address
298 Memorial Dr
Seneca, SC 29672-9443
Phone
(864) 885-7156
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0090-00795 NC
Emergency Medicine Physician 207P00000X 33052 SC Primary

Addresses

Primary practice location

298 Memorial Dr
Seneca, SC 29672-9443

Mailing address

1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6311

Other identifiers 5

IdentifierTypeStateIssuer
5904908MedicaidNC
PENDINGMedicaidSC
192452OtherNCMEDCOST
143CGOtherNCBCBS OF NC
P00374479OtherNCRRMCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070918000241 WI Practitioner - Emergency Medicine 1658378096 Reassigns benefits to 4 organizations
I20120130000084 IL Practitioner - Emergency Medicine 1658378096 Reassigns benefits to 1 organization
I20120310000037 IA Practitioner - Emergency Medicine 1658378096 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Saint Louis University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians

Practice addresses (Care Compare)

1118 11TH St
De Witt, IA 52742-1353
Phone (563) 242-7522

Hospital & facility affiliations

  • Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Mercyone Genesis Dewitt Medical Center Nursing home, CCN 16Z313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0090-00795NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Howard Young Medical Center, Inc. Emergency Medicine CurrentSince Nov 7, 2019 Accepting new patients
Aspirus Eagle River Hospital, Inc. Emergency Medicine CurrentSince Nov 7, 2019 Accepting new patients
Linn County Emergency Medicine PC Emergency Medicine CurrentSince Sep 26, 2023 Accepting new patients
Genesis Health System CurrentSince Apr 29, 2025 Accepting new patients
Spooner Health System, Inc. Current Accepting new patients
Johnson County Emergency Medicine, PLC Emergency Medicine CurrentSince Sep 26, 2023 Accepting new patients
Waukegan Clinic Corp CurrentSince Jun 2, 2024 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince Nov 7, 2019 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 7, 2019 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jun 2, 2024 Accepting new patients
Linn County Emergency Medicine PC Emergency Medicine CurrentSince Sep 26, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 7, 2019 Accepting new patients
Oconee Medical Center Past Accepting new patients
Mount Vernon Emergency Group PC Emergency Medicine Past Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine Past Accepting new patients
Genesis Health System Past Accepting new patients
Gulfport Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

1118 11th St
De Witt, IA 52742
Phone (563) 242-7522

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

29980 Network Pl
Chicago, IL 60673

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

1280 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2111

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1700993458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT",
            "address_2": "SUITE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154545",
            "telephone_number": "864-797-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 MEMORIAL DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729443",
            "telephone_number": "864-885-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENNETTA",
        "first_name": "JOSEPH",
        "middle_name": "DONALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "0090-00795",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "33052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904908",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "192452",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "143CG",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCA",
            "identifier": "P00374479",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.