Jerome O Spruill MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

28092 Issued in NC

Legal business name

JEROME O SPRUILL MD PA

Practice address

1307 N Elm St
Greensboro, NC 27401-6307

Phone

(336) 273-6911

Fax

(336) 273-9999

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jerome O Spruill, MD

Title

President

Phone

(336) 273-6911

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1841560992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016307",
            "telephone_number": "336-273-6911",
            "fax_number": "336-273-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016307",
            "telephone_number": "336-273-6911",
            "fax_number": "336-273-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME O SPRUILL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "SPRUILL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-273-6911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "28092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8979040",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Jensen, SLP
• Scott McKenzie Jensen, DMD
• Cory Jentz, DC
• Jeremy Phillips
• Margaret A Jerger, PHD,MA,CCC-SLP
• Kimberly Berthold Jerrom, OTR/L
• Jill Evelyn Jertson, M.D.
• Ryan Christopher Jessee, MD
• Belvin J Jessup II, CH
• Thelma Jeter, BSN, RN

• Cardiovascular Disease Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.