Individual provider Active NPI

Helen Mary Anne Spalding

  • Specialist
  • Hollywood, FL
National Provider Identifier
1770549263
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 92888 Issued in FL
Practice address
4100 Hollywood Blvd
2ND Floor
Hollywood, FL 33021-6778
Phone
(954) 518-4100
Fax
(954) 518-9701
NPI assigned
Apr 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME 92888 FL Primary

Addresses

Primary practice location

4100 Hollywood Blvd
2ND Floor
Hollywood, FL 33021-6778

Mailing address

8240 Cleary Blvd
#2412
Plantation, FL 33324-1384
Phone (954) 258-0456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071002000072 FL Practitioner - Obstetrics/Gynecology 5395830665 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 92888FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC CurrentSince Jan 1, 2008 Accepting new patients

Locations

4100 Hollywood Blvd
Ste 2
Hollywood, FL 33021
Phone (954) 518-4100

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1770549263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 CLEARY BLVD",
            "address_2": "#2412",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241384",
            "telephone_number": "954-258-0456",
            "fax_number": "954-518-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HOLLYWOOD BLVD",
            "address_2": "2ND FLOOR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216778",
            "telephone_number": "954-518-4100",
            "fax_number": "954-518-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALDING",
        "first_name": "HELEN",
        "middle_name": "MARY ANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 92888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.