Active NPI
Helen Mary Anne Spalding
- Specialist
- Hollywood, FL
National Provider Identifier
1770549263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME 92888
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 92888 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.