Spruce Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS00215OL Issued in PA

Legal business name

SPRUCE MEDICAL CENTER

Practice address

5046 Spruce St
Philadelphia, PA 19139-4115

Phone

(215) 471-2780

Fax

(215) 471-5201

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leonard W. Johnson, D.O.

Title

Medical Director

Phone

(215) 471-2780

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912044306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191394115",
            "telephone_number": "215-471-2780",
            "fax_number": "215-471-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5046 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191394115",
            "telephone_number": "215-471-2780",
            "fax_number": "215-471-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRUCE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-471-2780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS00215OL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaila Jenna Spritzer
• Amy Lee Sproch, M.D.
• Annamarie June Sproull, PSYD
• Sprout Therapeutics LLC
• Spruce Chiropractic Health Center, P.C.
• Spruce MRI Associates
• Laura Sprunt
• Spuc (Doctors Express)
• Spuc, LLC (AFC Urgent Care)
• Peter D Spurrell

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.