Individual provider Active NPI

John F. Spivey, M.D

  • Pediatric Pulmonology Physician
  • Saint Louis, MO
National Provider Identifier
1922023183
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
2003015265 Issued in MO
Practice address
621 S New Ballas Rd
Suite 382-a
Saint Louis, MO 63141-8232
Phone
(314) 251-5880
Fax
(314) 251-6088
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X 2003015265 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd
Suite 382-a
Saint Louis, MO 63141-8232

Mailing address

621 S New Ballas Rd
Suite 382-a
Saint Louis, MO 63141-8232
Phone (314) 251-5880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20060911000244 MO Practitioner - Pediatric MedicinePractitioner - Pulmonary Disease 9436153236 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2003015265MOMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Apr 4, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 4, 2021 Accepting new patients
Mercy Clinic Children'S Respiratory and Sleep Medicine, LLC Pediatric Pulmonology CurrentSince Dec 22, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 4, 2021 Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC PastSince Dec 22, 2022 Accepting new patients

Locations

448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

621 S New Ballas Rd
Ste 382A
Saint Louis, MO 63141
Phone (314) 251-5880

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1965 S Fremont Ave
Ste 300
Springfield, MO 65804
Phone (417) 820-2936

1965 S Fremont Ave
Ste 130
Springfield, MO 65804
Phone (417) 820-5150

Interoperability endpoints

  • Direct secure messaging: jspivey1349@directc.mercy.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922023183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 382-A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-5880",
            "fax_number": "314-251-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 382-A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-5880",
            "fax_number": "314-251-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "JOHN",
        "middle_name": "F.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "MO",
            "license": "2003015265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.