Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC004086L | PA |
Y | 222Z00000X | Podiatrist | SC004086L | PA |
N | 213EP1101X | Primary Podiatric Medicine | SC004086L | PA |
NPI | 1568435691 |
---|---|
Provider Name | Dr. Samuel James Spadone |
First Address | Philadelphia, PA 19182-7282 |
Second Address | Philadelphia, PA 19107-2496 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 07/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016023070002 | (05) | PA |
0141562000 | KEYSTONE HEALTH PLAN HMO (01) | PA |
1112248 | KEYSTONE MERCY (01) | PA |
1545275 | AETNA HMO (01) | PA |
160230703 | HMA (01) | PA |
231365971 | HUMANA (01) | PA |
231365971 | UNITED HEALTH CARE (01) | PA |
231365971071 | TRI-CARE (01) | PA |
28824 | HEALTH PARTNERS (01) | PA |
3Y2327 | HEALTH NET (01) | PA |
435766 | HEALTH AMERICA HEALTH ASSURANCE (01) | PA |
480029977 | RAILROAD MEDICARE (01) | PA |
5626713 | AETNA PPO (01) | PA |
7380101 | NJ MEDICAL ASSISTANCE (01) | NJ |
9232 | ELDER HEALTH / BRAVO (01) | PA |
9484115 | CIGNA (01) | PA |
H93038 | INTER CITY (01) | PA |
P2665799 | OXFORD (01) | PA |
SP893038 | BLUE SHIELD OF PA (01) | PA |
U63552 | (02) |