Joseph D Spataro MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOSEPH D SPATARO MD PC

Practice address

6101 Idlewild Rd
Suite 300
Charlotte, NC 28212-0517

Phone

(704) 531-0990

Fax

(704) 531-0464

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph David Spataro, MDNPI 1174594980

Title

Owner

Phone

(704) 531-0990

Specialties & licenses 1

Addresses

Other names 1

• Idlewild Medical Center Doing business as

Practitioners 1

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

• Joseph David Spataro, MD

  • General Practice Physician
  • Charlotte, NC
  • NPI 1174594980
  NPD (past) Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1932398294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 IDLEWILD RD",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282120517",
            "telephone_number": "704-531-0990",
            "fax_number": "704-531-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 IDLEWILD RD",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282120517",
            "telephone_number": "704-531-0990",
            "fax_number": "704-531-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH D SPATARO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "SPATARO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-531-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idlewild Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Lynn Jordan, LPC
• Jordo Physical Therapy Services
• Carlos B Jorge, MD
• Stephany Jorge
• Elizabeth Clare Jorgensen, LCSW
• Joseph M McClung
• Joseph S. Loparo,II,DMD,PA
• Aisha Chanel Joseph
• Gregory Justin Joseph, M.D.
• Kimberly Renada Joseph, LCSW

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.