Jeanne Maire Spudick, D.O.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

20A6795 Issued in CA

Practice address

1441 Avocado Ave
Suite 409
Newport Beach, CA 92660-7721

Phone

(949) 640-4501

Fax

(949) 640-0741

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Jeanne M. Spudick, D.O., a Medical Corporation

  • Infectious Disease Physician
  • Newport Beach, CA
  • NPI 1164596755
  NPD Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902824816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAHAVEN",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571506",
            "telephone_number": "949-376-8386",
            "fax_number": "949-640-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE",
            "address_2": "SUITE 409",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607721",
            "telephone_number": "949-640-4501",
            "fax_number": "949-640-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPUDICK",
        "first_name": "JEANNE",
        "middle_name": "MAIRE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "20A6795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javan Spoolstra
• Callie Spooner, MS, RDN
• Lauren Kelsey Spraker, LMFT
• Aditi Bhargava Springstubb, M.D.
• Springwell Haven LLC
• Ravi Srinivas, MD
• SSC Newport Beach Operating Company LP
• SSK Plastic Surgery Inc
• St. Jude Hospital Yorba Linda
• Jessica Jones St.Clair, MFT

• Infectious Disease Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.