Individual provider Active NPI

Richard Dean Spady, M.D.

  • Surgery Physician
  • Maysville, KY
National Provider Identifier
1861543464
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01045146A Issued in IN
Practice address
991 Medical Park Dr
Suite 201
Maysville, KY 41056-8764
Phone
(606) 759-9011
Fax
(606) 759-0676
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01045146 IN
Surgery Physician 208600000X 01045146A IN Primary

Addresses

Primary practice location

991 Medical Park Dr
Suite 201
Maysville, KY 41056-8764

Mailing address

991 Medical Park Dr
Suite 201
Maysville, KY 41056-8764
Phone (606) 759-9011

Other identifiers 1

IdentifierTypeStateIssuer
200103270MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20130511000039 KY Practitioner - General Surgery 2860680477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loma Linda University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadowview Physician Practice LLCGroup PAC ID 9032276274, 26 clinicians

Practice addresses (Care Compare)

991 Medical Park Dr
Suite 201
Maysville, KY 41056-8728
Phone (606) 759-9011

Hospital & facility affiliations

  • Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux13
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01045146INMDSpecialist
01045146AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowview Physician Practice LLC CurrentSince Apr 1, 2013 Accepting new patients
Meadowview Physician Practice, LLC Surgery CurrentSince Apr 1, 2013 Accepting new patients
Meadowview Physician Practice LLC Past Accepting new patients

Locations

991 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (606) 759-3585

991 Medical Park Dr
Ste 202
Maysville, KY 41056
Phone (606) 759-5424

Interoperability endpoints

  • Direct secure messaging: richard.spady.1@19475.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1861543464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR",
            "address_2": "SUITE 201",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568764",
            "telephone_number": "606-759-9011",
            "fax_number": "606-759-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR",
            "address_2": "SUITE 201",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568764",
            "telephone_number": "606-759-9011",
            "fax_number": "606-759-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADY",
        "first_name": "RICHARD",
        "middle_name": "DEAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01045146",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01045146A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200103270",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.