Active NPI
Matthew Adrian Spear, M.D.
- Radiation Oncology Physician
- Greenville, NC
National Provider Identifier
1750693453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 2011-01825
- Practice address
- 600 Moye Blvd
Leo Jenkins Cancer Services
Greenville, NC 27834-4300 - Phone
- (252) 744-2900
- Fax
- (252) 744-2812
- NPI assigned
- Jul 9, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 2011-01825 | NC | Primary |
| Radiation Oncology Physician | 2085R0001X | G84452 | CA |
Addresses
Primary practice location
600 Moye Blvd
Leo Jenkins Cancer Services
Greenville, NC 27834-4300
Mailing address
PO Box 751069
Leo Jenkins Cancer Services
Charlotte, NC 28275-1069
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 |
|---|---|---|---|
| G84452 | CA | MD | Radiation Oncology Physician |
| 2011-01825 | NC | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1750693453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"address_2": "LEO JENKINS CANCER SERVICES",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MOYE BLVD",
"address_2": "LEO JENKINS CANCER SERVICES",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278344300",
"telephone_number": "252-744-2900",
"fax_number": "252-744-2812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAR",
"first_name": "MATTHEW",
"middle_name": "ADRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-09",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "2011-01825",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "G84452",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.