Active NPI
Jared Lee Spicer, DPM
- Podiatrist
- Phoenix, AZ
National Provider Identifier
1942641485
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 18, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0000000
- Practice address
- 650 E Indian School Rd
Mail Stop 112
Phoenix, AZ 85012-1839 - Phone
- (602) 277-5551
- NPI assigned
- Jul 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0000000 | AZ | Primary |
Addresses
Primary practice location
650 E Indian School Rd
Mail Stop 112
Phoenix, AZ 85012-1839
Mailing address
206 Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-2227
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000 | AZ | MD | Family Medicine Physician |
Interoperability endpoints
- jared.spicer.1@11099.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1942641485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 OXFORD RD",
"city": "NEW ALBANY",
"state": "MS",
"postal_code": "386523115",
"telephone_number": "662-534-2227",
"fax_number": "662-534-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 E INDIAN SCHOOL RD",
"address_2": "MAIL STOP 112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121839",
"telephone_number": "602-277-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPICER",
"first_name": "JARED",
"middle_name": "LEE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-12",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "0000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.