Dr. James J Spadaro JR.
Interventional Cardiology
1050 W 10th St
Rolla
, Missouri 65401-2905
Dr. James J Spadaro JR.
Interventional Cardiology
1050 W 10th St
Rolla
, Missouri 65401-2905
(573) 202-2480
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About
Features
Specialties
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Dr. James J Spadaro JR.
- 1050 W 10th St
- Rolla, MO
- Zip : 65401-2905
- Fax : (573) 202-2480
- Phone : (573) 308-1301
Second Address
- Dr. James J Spadaro JR.
- 1050 W 10th St
- Rolla, MO
- Zip : 65401-2905
- Fax : (573) 202-2480
- Phone : (573) 308-1301
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0011X | Interventional Cardiology | R9324 | MO |
National Provider Identifier
| NPI | 1063411999 |
|---|---|
| Provider Name | Dr. James J Spadaro JR. |
| First Address | Rolla, MO 65401-2905 |
| Second Address | Rolla, MO 65401-2905 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2005 |
| Last Update Date | 24/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10372 | BC/BS ID# (01) | |
| 145792 | HEALTHLINK ID# (01) | |
| 202587614 | (05) | MO |
| 202587622 | (05) | MO |
| 2500043 | UHC ID# (01) | |
| 4040796 | AETNA ID# (01) | |
| 43-1571021 | TAX ID# (01) | |
| 5512255 | CIGNA ID# (01) | |
| 8712 | GHP ID# (01) | |
| B18644 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.