Individual provider Active NPI

Edward Frank Spievack

  • Orthopaedic Surgery Physician
  • Stuart, FL
National Provider Identifier
1912529868
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME21001 Issued in FL
Practice address
30 W High Point Rd
Stuart, FL 34996-7020
Phone
(772) 221-9250
Fax
(772) 221-9225
NPI assigned
May 14, 2020
Last updated
May 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME21001 FL Primary

Addresses

Primary practice location

30 W High Point Rd
Stuart, FL 34996-7020

Mailing address

30 W High Point Rd
Stuart, FL 34996-7020
Phone (772) 221-9250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ME21001FLMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1912529868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W HIGH POINT RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349967020",
            "telephone_number": "772-221-9250",
            "fax_number": "772-221-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W HIGH POINT RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349967020",
            "telephone_number": "772-221-9250",
            "fax_number": "772-221-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIEVACK",
        "first_name": "EDWARD",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME21001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.