Individual provider Active NPI

Scott Weaver Spann, MD

  • Orthopaedic Surgery Physician
  • Austin, TX
National Provider Identifier
1861487001
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
K1685 Issued in TX
Practice address
5656 Bee Caves Rd
Suite K-200
Austin, TX 78746-5280
Phone
(512) 329-6644
Fax
(512) 891-6399
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X K1685 TX Primary

Addresses

Primary practice location

5656 Bee Caves Rd
Suite K-200
Austin, TX 78746-5280

Mailing address

5656 Bee Caves Rd
Suite K-200
Austin, TX 78746-5280
Phone (512) 329-6644

Other identifiers 2

IdentifierTypeStateIssuer
096980002MedicaidTX
84090XOtherTXBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20040524000410 TX Practitioner - Orthopedic Surgery 1658261425 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brushy Creek Emergency Physicians PLLC Orthopaedic Surgery CurrentSince Aug 5, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1860 S Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 506-8503

230 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 766-1400

3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665

Interoperability endpoints

  • Direct secure messaging: hwmsspann@yourcarecommunity.org
  • Direct secure messaging: scott.spann.1@13131.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1861487001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD",
            "address_2": "SUITE K-200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-329-6644",
            "fax_number": "512-891-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD",
            "address_2": "SUITE K-200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-329-6644",
            "fax_number": "512-891-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANN",
        "first_name": "SCOTT",
        "middle_name": "WEAVER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K1685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096980002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "84090X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.