Active NPI
Peter John Spohn, MD
- Orthopaedic Surgery Physician
- Hazle Township, PA
National Provider Identifier
1952363400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD458037
- Practice address
- 50 Moisey Dr Ste 202
Hazle Township, PA 18202-9297 - Phone
- (570) 501-6730
- Fax
- (570) 501-3837
- NPI assigned
- Apr 3, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD458037 | PA | Primary |
Addresses
Primary practice location
50 Moisey Dr Ste 202
Hazle Township, PA 18202-9297
Mailing address
51 Colony Drive
Hazleton, PA 18202-3107
Phone (843) 618-8356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103260374 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1952363400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 COLONY DRIVE",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182023107",
"telephone_number": "843-618-8356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MOISEY DR STE 202",
"city": "HAZLE TOWNSHIP",
"state": "PA",
"postal_code": "182029297",
"telephone_number": "570-501-6730",
"fax_number": "570-501-3837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOHN",
"first_name": "PETER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD458037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103260374",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazle Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.