Active NPI
Donald George Spaeth, D.O., PH.D.
- Family Medicine Physician
- Alpena, MI
National Provider Identifier
1841286507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101018043
- Practice address
- 1185 US Highway 23 N
Alpena, MI 49707-8018 - Phone
- (989) 356-4049
- Fax
- (989) 358-3712
- NPI assigned
- Sep 27, 2005
- Last updated
- Jan 25, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101018043 | MI | Primary |
Addresses
Primary practice location
1185 US Highway 23 N
Alpena, MI 49707-8018
Mailing address
1185 US Highway 23 N
PO Box 857
Alpena, MI 49707-8018
Phone (989) 356-4049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841286507 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101018043 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1841286507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1185 US HIGHWAY 23 N",
"address_2": "PO BOX 857",
"city": "ALPENA",
"state": "MI",
"postal_code": "497078018",
"telephone_number": "989-356-4049",
"fax_number": "989-358-3712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1185 US HIGHWAY 23 N",
"city": "ALPENA",
"state": "MI",
"postal_code": "497078018",
"telephone_number": "989-356-4049",
"fax_number": "989-358-3712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAETH",
"first_name": "DONALD",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "D.O., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101018043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841286507",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alpena, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.