Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 35.055270 | OH |
Y | 2080P0208X | Pediatric Infectious Diseases | 35.055270 | OH |
NPI | 1649224239 |
---|---|
Provider Name | Paul W Spearman |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 17/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0712072 | (05) | OH |
200267380 | (05) | IN |
549202737E | (05) | GA |
64921174 | (05) | KY |
945871 | BLUE CROSS BLUE SHIELD (01) | GA |
F62869 | (02) | GA |
H495510 | MEDICARE (01) | OH |
H495510 | OH MEDICARE (01) | OH |