DR. JUSTIN MATTHEW SPAULDING (NPI# 1013259167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013259167 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN MATTHEW SPAULDING |
| Credential | D.O. |
| Practice Address |
1408 E Barnett Rd Medford OR 97504-8279 |
| Practice Telephone | 5417792020 |
| Practice Fax Number | 5417706838 |
| Mailing Telephone | 5417792020 |
| Mailing Fax Number | 5417706838 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | DO186862 | OR | Allopathic & Osteopathic Physicians |
| Y | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
DO186862 | OR | Allopathic & Osteopathic Physicians |
| N | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
6124 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500743468 | 05 |
| Street Address |
1408 E BARNETT RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265413934 | Paul Norman Schultz | Ophthalmology | 1408 E Barnett Rd, Medford, OR 97504-8279 | 2005-11-09 |
| 1861525248 | Tina Rutar | Ophthalmology | 1408 E Barnett Rd, Medford, OR 97504-8279 | 2007-03-14 |
| 1659409241 | Eye Surgery Center | Clinic/Center | 1408 E Barnett Rd, Medford, OR 97504 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207WX0009X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Glaucoma Specialist |
| An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2017: new] Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659499317 | Eliesa Ann Ing | Ophthalmology | Portland Va Hcs, Po Box 1034/p3-eye, Portland, OR 97239 | 2007-03-27 |
| 1659499507 | Garrett Ransom Scott | Ophthalmology | 512 E Main St, Hillsboro, OR 97123-4137 | 2007-03-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.