William Jenkins Spanenberg, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01048277A Issued in IN

Practice address

931 12 Oaks
Carmel, IN 46032-9432

Phone

(317) 417-7404

NPI assigned

Nov 30, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1831173186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 12 OAKS",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329432",
            "telephone_number": "317-417-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 12 OAKS",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329432",
            "telephone_number": "317-417-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANENBERG",
        "first_name": "WILLIAM",
        "middle_name": "JENKINS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01048277A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200175090",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Spack, ATC, LAT
• Allison Spaeth
• Diadra Spalding, MHC
• Tayzha Span
• Layla Nisan-Simon Spanenberg, RPH
• Spanish Therapies, P.C.
• Dana Arlene Sparks, LCSW
• Gregory S Spayde, PAC
• Jesse Lynn Spear, MD
• Speech and Language Through Play, Inc

• Internal Medicine Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.