Active NPI
Thomas Dale Spiers Jr., C.R.N.A.
- Certified Registered Nurse Anesthetist
- Sidney, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 159730
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8051401 | Medicaid | NC | |
| AN0762 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 251 | SC | MD | Registered Dietitian |
| 159730 | MT | MD | Certified Registered Nurse Anesthetist |
| 30565 | SC | MD | Certified Registered Nurse Anesthetist |
| RN0000116650 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Clinics, Inc | Current | Accepting new patients | |
| South Central Clinics, Inc | Current | Accepting new patients | |
| South Central Clinics, Inc | Current | 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.
-
dba Ellisville Medical Clinic
- Family Medicine Physician
- Ellisville, MS
- NPI 1801226287
-
dba South Central Urgent Care
- Rural Health Clinic/Center
- Laurel, MS
- NPI 1033903547
-
dba South Central Neurology
- Neurology Physician
- Laurel, MS
- NPI 1093232506
-
dba GHS Cardiovascular SVCS Simp
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
-
- Certified Registered Nurse Anesthetist
- Lancaster, SC
- NPI 1164794384
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Elizabeth City, NC
- NPI 1689628729
Nurse Anesthetist, Certified Registered
-
- Medical Specialty Clinic/Center
- Union, SC
- NPI 1588872584
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laurel, MS
- NPI 1619973542
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.