Jonathan L Spaulding, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

O5009254C Issued in PA

Practice address

965 Shamrock LN
Corry, PA 16407-9121

Phone

(814) 664-4641

Fax

(814) 663-9900

NPI assigned

Mar 14, 2006

Last updated

Dec 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10044/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/corrymh-73713d5f

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.

• Corry Memorial Hospital Association

  • Critical Access Hospital
  • Corry, PA
  • NPI 1255788014
  Medicare reassignment NPD
• Corry Memorial Hospital Association

  dba Corry Memorial Hospital

  • Critical Access Hospital
  • Corry, PA
  • NPI 1841268877
  Medicare reassignment NPD
• Corry Memorial Hospital Association

  dba Corry Memorial Hospital Rural Health Clinic

  • Rural Health Clinic/Center
  • Corry, PA
  • NPI 1124406376
  NPD
• Deerfield Behavioral Health of Warren, LLC

  • Psychiatry Physician
  • Warren, PA
  • NPI 1134158314
  NPD (past)
• Medical Associates of Erie

  dba Primary Care at the Achievement Center

  • Family Medicine Physician
  • Erie, PA
  • NPI 1164304903
  NPD (past)
• Brown Memorial Hospital

  • Emergency Medicine Physician
  • Conneaut, OH
  • NPI 1447330519
  NPD (past)
• Corry Medical Services, Inc

  • General Practice Physician
  • Clymer, NY
  • NPI 1538240684
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1912975194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "telephone_number": "814-868-2507",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 SHAMROCK LN",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164079121",
            "telephone_number": "814-664-4641",
            "fax_number": "814-663-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "JONATHAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34007573",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "O5009254C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016621180015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Ester Shinder, DO
• Debra R Shreve, CRNP
• Joseph Edward Sierota
• Austin Michael Sims, DO
• Thomas William Sloss, PHARM.D
• St Vincent Medical Education and Research Institute Inc (Saint Vincent Medical Group of Corry)
• Rebecca Rose Steves, D.M.D.
• Karl E. Streilein, O.D., PHD.
• Rebekka Stull, PHARMD
• John Mark Styborski, MPT

• Emergency Medicine Physician in Corry, PA
• Providers in Corry, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.
• 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.