Active NPI
Stephen A Spaulding, MD
- Family Medicine Physician
- Montour Falls, NY
National Provider Identifier
1760578330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 189028
- Practice address
- 401 W. Main St.
Suite 130
Montour Falls, NY 14865 - Phone
- (607) 535-6080
- Fax
- (607) 535-9613
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 189028 | NY | Primary |
Addresses
Primary practice location
401 W. Main St.
Suite 130
Montour Falls, NY 14865
Mailing address
P.O. Box 610
401 W. Main St., Suite 130
Montour Falls, NY 14865
Phone (607) 535-6080
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 |
|---|---|---|---|
| 189028 | NY | MD | Family Medicine Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Mount Falls, NY
- NPI 1326131988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1760578330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 610",
"address_2": "401 W. MAIN ST., SUITE 130",
"city": "MONTOUR FALLS",
"state": "NY",
"postal_code": "14865",
"telephone_number": "607-535-6080",
"fax_number": "607-535-9613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W. MAIN ST.",
"address_2": "SUITE 130",
"city": "MONTOUR FALLS",
"state": "NY",
"postal_code": "14865",
"telephone_number": "607-535-6080",
"fax_number": "607-535-9613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAULDING",
"first_name": "STEPHEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "189028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montour Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.