Active NPI
Deborah A. Spaight, M.D.
- Pediatrics Physician
- Wakefield, RI
National Provider Identifier
1750467205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- RI11052
- Practice address
- 4979 Tower Hill Rd
Wakefield, RI 02879-2283 - Phone
- (401) 789-6492
- Fax
- (401) 789-5524
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | RI11052 | RI | Primary |
Addresses
Primary practice location
4979 Tower Hill Rd
Wakefield, RI 02879-2283
Mailing address
4979 Tower Hill Rd
Wakefield, RI 02879-2283
Phone (401) 789-6492
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 458315 | Other | RI | TUFTS |
| DS47941 | Medicaid | RI | |
| 21696 | Other | RI | BLUE CROSS/BLUE SHIELD |
| 12-02976 | Other | RI | UNITED HEALTHCARE |
| 410105 | Other | RI | BC/BS BLUE CHIP |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI11052 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South County Pediatric Group, Inc. | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Wakefield, RI
- NPI 1417033986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750467205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4979 TOWER HILL RD",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028792283",
"telephone_number": "401-789-6492",
"fax_number": "401-789-5524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4979 TOWER HILL RD",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028792283",
"telephone_number": "401-789-6492",
"fax_number": "401-789-5524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAIGHT",
"first_name": "DEBORAH",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "RI11052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "458315",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DS47941",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "21696",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "12-02976",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS BLUE CHIP",
"identifier": "410105",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, RI
- South Kingstown School Department
- South Kingstown School Department
- South Road Group Home
- Southern Rhode Island Pulmonary and Critical Care, LLC
- Southern Ri Doula Postpartum and Newborn Care, LLC
- Jayson Spas
- Speak Freely, LLC
- Brooke Ann Spencer-Brooks, M.S., S.L.P
- Joan M Spencer, PCNS
- Spurwink Ri - Peaked Rock Road
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.