Eugene J. Spiotta Jr., M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD008432 Issued in TN

Practice address

6005 Park Ave
Ste 200
Memphis, TN 38119-5212

Phone

(901) 761-2100

Fax

(901) 682-9351

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Eric Blakney

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1063608966
  NPD
• Memphis Medical Specialists, Inc

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1568425999
  NPD
• Saint Francis Physician Network, LLC

  • Family Medicine Physician
  • Covington, TN
  • NPI 1295258002
  NPD

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1821091612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195212",
            "telephone_number": "901-761-2100",
            "fax_number": "901-682-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195212",
            "telephone_number": "901-761-2100",
            "fax_number": "901-682-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIOTTA",
        "first_name": "EUGENE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD008432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2006943",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1210649",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2567047001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4385995",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spine Cin of West Tennessee LLC
• Spine Specality Center PLLC
• Melontina Roshelle Spiney
• Vicki A. Spinosa, CMSW
• Michael Spinrad, MD
• Larry B Spiotta, MD
• Spirit Health
• Spirit of Service Counseling & Wellness Center, LLC
• Spiritbuilders,Inc
• Hannah Elizabeth Dailey Spivey

• Gastroenterology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.

Verify at the official NPI Registry.