Susan Elizabeth Spoerke, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25750 Issued in CO

Practice address

8889 Fox Dr
Suite a
Denver, CO 80260-8841

Phone

(303) 430-0823

Fax

(303) 426-9581

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61114

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountainland Pediatrics PC

  • Pediatrics Physician
  • Denver, CO
  • NPI 1174605489
  NPD (past) Authorized official
• Mountainland Pediatrics Inc

  • Pediatrics Physician
  • Thornton, CO
  • NPI 1619152576
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902980576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 WARD DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151046",
            "telephone_number": "303-237-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8889 FOX DR",
            "address_2": "SUITE A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802608841",
            "telephone_number": "303-430-0823",
            "fax_number": "303-426-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOERKE",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "25750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01257500",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren A Spitzinger, NP
• Hannah Spivak, LCSW
• Norman Robert Spivy, OD
• Stephanie Spjuth, LCSW
• Shannon Splane
• Cassie Nicole Spohn
• Marie Spollen, PSYD
• Melanie Jean Spotts, NP-C
• Spencer Spotts
• Mark G Spragins, MA, LPC

• Pediatrics Physician in Denver, CO
• Providers in Denver, CO by specialty
• Pediatrics Physician in Colorado

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.