Dr. Matthew S Spiva
Podiatrist Foot & Ankle Surgery
Us Hwy 491 North
Shiprock
, New Mexico 87420
Dr. Matthew S Spiva
Podiatrist Foot & Ankle Surgery
Us Hwy 491 North
Shiprock
, New Mexico 87420
(505) 368-6001
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About
Features
Specialties
- Podiatrist
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Matthew S Spiva
- Po Box 160
- Shiprock, NM
- Zip : 87420-0160
- Phone : (505) 368-6001
Second Address
- Dr. Matthew S Spiva
- Us Hwy 491 North
- Shiprock, NM
- Zip : 87420
- Phone : (505) 368-6001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 8718615-0501 | UT |
| N | 222Z00000X | Podiatrist | 8718615-0501 | UT |
| Y | 213E00000X | Podiatrist | POD387 | NM |
| Y | 222Z00000X | Podiatrist | POD387 | NM |
| N | 213ES0103X | Foot & Ankle Surgery | 8718615-0501 | UT |
| N | 213ES0103X | Foot & Ankle Surgery | POD387 | NM |
National Provider Identifier
| NPI | 1003179193 |
|---|---|
| Provider Name | Dr. Matthew S Spiva |
| First Address | Shiprock, NM 87420-0160 |
| Second Address | Shiprock, NM 87420 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2012 |
| Last Update Date | 10/10/2018 |
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.