Joseph G Spano MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME15497 Issued in FL

Legal business name

JOSEPH G SPANO MD PA

Practice address

130 Tamiami TRL N
Suite 130
Naples, FL 34102-6224

Phone

(239) 263-4470

Fax

(239) 403-1655

NPI assigned

Oct 4, 2007

Last updated

Aug 13, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

JOSEPH G SPANO MD PAAs reported in NPPES

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

Authorized official

Name

Dr. Joseph G Spano, M.D.NPI 1417068040

Title

MD

Phone

(239) 263-4470

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Joseph G Spano Mdpa

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Griffin Spano, MD

  • Gastroenterology Physician
  • Naples, FL
  • NPI 1417068040
  Medicare reassignment NPD Authorized official
• Manuel Fabian Bustamante, M.D.

  • Gastroenterology Physician
  • Naples, FL
  • NPI 1568411809
  NPD (past)
• Karleen Hanna, ARNP

  • Geriatric Medicine (Internal Medicine) Physician
  • Fort Myers, FL
  • NPI 1518093525
  NPD (past)

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1982892857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TAMIAMI TRL N",
            "address_2": "SUITE 130",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026224",
            "telephone_number": "239-263-4470",
            "fax_number": "239-403-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TAMIAMI TRL N",
            "address_2": "SUITE 130",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026224",
            "telephone_number": "239-263-4470",
            "fax_number": "239-403-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH G SPANO MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPH G SPANO MD PA",
        "enumeration_date": "2007-10-04",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "SPANO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "239-263-4470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME15497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048570500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490004079",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1982892857",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany B Jordan, PA-C
• David Josam
• Jose M. Baez, MD, LLC
• Jose R. Marquina, M.D., P.a.
• Joseph Ferio Francois D.O.;Pharmd; P.a.
• Joseph Gauta MD PA (Florida Bladder Institute)
• Joseph Onorato M.D., P.C. (SWFL Dermatology, Mohs Surgery & Laser Center)
• Cavy Joseph, DPT
• Colette Joseph
• Douglas A. Joseph, M.D

• Gastroenterology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.