Carrell Rice Spann, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301088986 Issued in MI

Practice address

105 Arbor LN
Alpena, MI 49707-1301

Phone

(989) 356-3485

Fax

(989) 356-6396

NPI assigned

Jul 23, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1922020825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ARBOR LN",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071301",
            "telephone_number": "989-356-3485",
            "fax_number": "989-356-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ARBOR LN",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071301",
            "telephone_number": "989-356-3485",
            "fax_number": "989-356-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANN",
        "first_name": "CARRELL",
        "middle_name": "RICE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301088986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922020825",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Sola, MSW
• Jamie Lee Soltysiak, LLMSW
• Nena F Sork, MSW
• Sound Physicians Emergency Medicine of Michigan, PLLC
• Donald George Spaeth, D.O., PH.D.
• Charles S Spann, M.D.
• Jesse Spicer
• Kristine Lynn Spicer, PHARM.D.
• Thomas Spinelli, RN
• Kali Spomer

• Specialist in Alpena, MI
• Providers in Alpena, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.