Individual provider Active NPI

Thomas Dale Spiers Jr., C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Sidney, MT
National Provider Identifier
1952313843
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
159730 Issued in MT
Practice address
216 14TH Ave SW
Sidney, MT 59270-3519
Phone
(406) 488-2100
Fax
(406) 488-2261
NPI assigned
Aug 12, 2006
Last updated
Jun 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN0000116650 TN
Certified Registered Nurse Anesthetist 367500000X 159730 MT Primary

Addresses

Primary practice location

216 14TH Ave SW
Sidney, MT 59270-3519

Mailing address

PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258

Other practice location 1

322 W South St
Union, SC 29379-2839
Phone (864) 429-2627

Other identifiers 2

IdentifierTypeStateIssuer
8051401MedicaidNC
AN0762MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000842 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426020488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Clinics, IncGroup PAC ID 4385876655, 117 clinicians

Practice addresses (Care Compare)

1002 Jefferson St
Laurel, MS 39440-4306

1203 Ave B
Ellisville, MS 39437-2080
Phone (601) 477-2226

1220 Jefferson St
Laurel, MS 39440-4355
Phone (601) 399-6169

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
251SCMDRegistered Dietitian
159730MTMDCertified Registered Nurse Anesthetist
30565SCMDCertified Registered Nurse Anesthetist
RN0000116650TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Clinics, Inc Current Accepting new patients
South Central Clinics, Inc CurrentSince Sep 1, 2019 Accepting new patients
South Central Clinics, Inc CurrentSince Sep 1, 2019 Accepting new patients
Wallace Thomson Hospital Past Accepting new patients
Nationwide Anesthesia Partners, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Nurse Anesthesia of North Carolina, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Greenville Health System Past Accepting new patients

Locations

1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1952313843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6210",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874996210",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 14TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703519",
            "telephone_number": "406-488-2100",
            "fax_number": "406-488-2261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 W South St",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "SC",
            "postal_code": "293792839",
            "country_code": "US",
            "telephone_number": "864-429-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIERS",
        "first_name": "THOMAS",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN0000116650",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "159730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8051401",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0762",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.