Michael J Spezia DO Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

R8660 Issued in MO

Legal business name

MICHAEL J SPEZIA DO INC

Practice address

23 N Oaks PLZ
Suite 200
Saint Louis, MO 63121-2917

Phone

(314) 385-7161

Fax

(314) 385-3502

NPI assigned

Feb 15, 2010

Organization subpart

No

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

Authorized official

Name

Michael Joseph Spezia, D.O.NPI 1316928369

Title

Doctor

Phone

(314) 385-7161

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Spezia, D.O.

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1316928369
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1912229147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N OAKS PLZ",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631212917",
            "telephone_number": "314-385-7161",
            "fax_number": "314-385-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N OAKS PLZ",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631212917",
            "telephone_number": "314-385-7161",
            "fax_number": "314-385-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J SPEZIA DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "SPEZIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "314-385-7161",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MO",
            "license": "R8660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240274704",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Miazza
• Maryanne Mica, MSW
• Kristen Miceli, PSYD
• Michael a. Specter Inc.
• Michael D Weiss DPM and Associates, LLC
• Michael J. Hoffmann D.D.S.
• Michael J. Milne M.D., L.L.C.
• Michael P. Travis, DDS LLC
• Michael P. Wallace D.M.D., PC
• Michael W Noble DMD PC

• Health Maintenance Organization in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Health Maintenance Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.