Active NPI
Charles S Spann, M.D.
- Diagnostic Radiology Physician
- Alpena, MI
National Provider Identifier
1740203272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5666
- Practice address
- 1501 W Chisholm St
Alpena, MI 49707-1401 - Phone
- (989) 356-7390
- NPI assigned
- Jul 25, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 5666 | AK | Primary |
Addresses
Primary practice location
1501 W Chisholm St
Alpena, MI 49707-1401
Mailing address
5560 Gratiot Rd
Saginaw, MI 48638-6091
Phone (989) 791-9024
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F7835 | Medicaid | NM | |
| 38259 | Other | CO | MEDICAL LICENSE |
| 1740203272 | Medicaid | MI |
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 |
|---|---|---|---|
| Pine Ridge Indian Health Service Hospital | Past | Accepting new patients | |
| San Miguel Hospital Corporation | Past | Accepting new patients | |
| Cardiac Care Consultants of NM, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Albuquerque, NM
- NPI 1366577827
-
- Clinic/Center
- Wanblee, SD
- NPI 1962559518
-
- Medicare Defined Swing Bed Hospital Unit
- Las Vegas, NM
- NPI 1598537862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1740203272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5560 GRATIOT RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486386091",
"telephone_number": "989-791-9024",
"fax_number": "989-791-3702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 W CHISHOLM ST",
"city": "ALPENA",
"state": "MI",
"postal_code": "497071401",
"telephone_number": "989-356-7390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANN",
"first_name": "CHARLES",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AK",
"license": "5666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F7835",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "38259",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740203272",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alpena, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.