Dr James J Spadaro Jr, MD | |
1050 W 10th St, Rolla, MO 65401-2905 | |
(573) 308-1301 | |
(573) 202-2480 |
Full Name | Dr James J Spadaro Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine - Interventional Cardiology |
Location | 1050 W 10th St, Rolla, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063411999 | NPI | - | NPPES |
10372 | Other | BC/BS ID# | |
43-1571021 | Other | TAX ID# | |
145792 | Other | HEALTHLINK ID# | |
4040796 | Other | AETNA ID# | |
202587614 | Medicaid | MO | |
8712 | Other | GHP ID# | |
202587622 | Medicaid | MO | |
2500043 | Other | UHC ID# | |
5512255 | Other | CIGNA ID# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | R9324 (Missouri) | Primary |
Entity Name | Ssm Health Care St Louis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Phelps County Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
---|---|
Dr James J Spadaro Jr, MD 1050 W 10th St, Rolla, MO 65401-2905 Ph: (573) 308-1301 | Dr James J Spadaro Jr, MD 1050 W 10th St, Rolla, MO 65401-2905 Ph: (573) 308-1301 |
Dr. Donald L James, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-7545 Fax: 573-368-3672 | |
Bohdan A Lebedowicz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-202-2440 | |
Dr. Hadi Bhurgri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-458-3580 Fax: 573-202-2408 | |
John Robertson Carr, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 | |
Dr. Dmitry Familtsev, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-308-1301 Fax: 573-202-2480 | |
Ethan James Porter, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-202-2484 |