Active NPI
Michael William Spagnuolo, D.O.
- Orthopaedic Surgery Physician
- Sherman, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- P5305
- Practice address
- 300 N Highland Ave Ste 415
Sherman, TX 75092-7390 - Phone
- (903) 892-3696
- Fax
- (903) 893-9514
- NPI assigned
- May 3, 2006
- Last updated
- Nov 5, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5101015054 | MI | |
| Orthopaedic Surgery Physician | 207X00000X | P5305 | TX | Primary |
Addresses
Primary practice location
300 N Highland Ave Ste 415
Sherman, TX 75092-7390
Mailing address
1908 N Laurent St Ste 410
Victoria, TX 77901-5469
Phone (361) 572-0333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DK059Z | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015054 | MI | MD | Orthopaedic Surgery Physician |
| 1527 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Newaygo County General Hospital Association | Past | Accepting new patients | |
| Mid-Michigan Orthopaedics | Orthopaedic Surgery | Past | Accepting new patients |
| Newaygo County General Hospital Association | Past | Accepting new patients |
Locations
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- dmcmspagn@yourcarecommunity.org
Organizations & group practices 4
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
- Dallas, TX
- NPI 1760488936
-
- Orthopaedic Surgery Physician
- Owosso, MI
- NPI 1447218177
-
dba Corewell Health Gerber Hospital
- Critical Access Hospital
- Fremont, MI
- NPI 1063836963
-
dba Corewell Health Gerber Hospital Professional
- Hospitalist Physician
- Fremont, MI
- NPI 1750404927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1841258175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 N LAURENT ST STE 410",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015469",
"telephone_number": "361-572-0333",
"fax_number": "361-371-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N HIGHLAND AVE STE 415",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750927390",
"telephone_number": "903-892-3696",
"fax_number": "903-893-9514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAGNUOLO",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101015054",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "P5305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "DK059Z",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.