STEPHEN V SPARE


Address: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103-5614
Phone: 3362772436

STEPHEN V SPARE (NPI# 1386796159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386796159
Entity Type Individual
Full Name STEPHEN V SPARE
Credential MD
Practice Address 2085 Frontis Plaza Blvd
Winston Salem
NC 27103-5614
Mailing Address 2000 Frontis Plaza Blvd
Ste 200
Winston Salem
NC 27103-5616
Practice Telephone 3362772436
Mailing Telephone 3362772436
Enumeration Date 2007-01-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
76-274 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FEDERAL DEA AS7131713 01

Office Location

Street Address 2085 FRONTIS PLAZA BLVD
City WINSTON SALEM
State NC
Zip Code 27103-5614

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427683044 Nh Digital Health Services, LLC Emergency Medicine 2085 Frontis Plaza Blvd, Winston Salem, NC 27103-5614 2020-03-04
1992177828 George Mathew Reynolds Nurse Practitioner 2085 Frontis Plaza Blvd, Winston Salem, NC 27103-5614 2015-10-30
1609278647 Chelsie Conklin Physician Assistant 2085 Frontis Plaza Blvd, Winston Salem, NC 27103-5614 2014-09-22
1871722538 Zoe M Comer Nurse Practitioner 2085 Frontis Plaza Blvd, Winston Salem, NC 27103-5614 2009-07-02
1851559892 Denise J Leone Nurse Practitioner 2085 Frontis Plaza Blvd, Winston Salem, NC 27103-5614 2008-05-27
1013122092 Joy Lianne Justice Nurse Practitioner 2085 Frontis Plaza Blvd, Winston Salem, NC 27103-5614 2007-05-11
1942364955 James Weil Lederer Jr. Internal Medicine 2085 Frontis Plaza Blvd, Clinical Improvement Department, Winston Salem, NC 27103-5614 2006-12-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124648126 Kelly Anne Wales Pharmacist 3917-a Westpoint Boulevard, Winston-salem, NC 27103 2020-04-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1992359442 Madeline Pryor Pharmacist 255 Charlois Drive, Winston Salem, NC 27103 2019-08-01
1215599584 Palmetto Oxygen LLC Durable Medical Equipment & Medical Supplies 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 2019-07-07
1548734718 Trivy Johnson Specialist 1384-b Westgate Center Dr., Winston Salem, NC 27103 2019-01-21
1447745047 Novant Health Rehabilitation Hospital of Winston-salem, LLC Rehabilitation Hospital 2475 Hillcrest Center Circle, Winston Salem, NC 27103 2018-06-26
1346740206 Joseph Miller Physical Therapist 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 2018-02-17
1548779101 Kristin Blow Counselor 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 2017-09-27
1891213443 Alisha Dawn Wilson Occupational Therapy Assistant 2101 Homestead Hills Drive, Winston Salem, NC 27103 2017-09-05
1588186969 Brandy Wilson Social Worker 153 Cameron Way Circle, Winston Salem, NC 27103 2017-07-07
Find all providers in zip 27103

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174813570 Chinenyenwa Usoh Internal Medicine 4610 Country Club Rd, Winston Salem, NC 27104-3520 2011-04-19
1730301037 Jaime E Trujillo Md Pa Internal Medicine 3080 Trenwest Drive, Winston Salem, NC 27103 2007-05-03
1023104981 Tracie Christine Farmer Internal Medicine 755 Highland Oaks Dr Ste 201, Dba Forsyth Endocrine Consultants, Winston Salem, NC 27103-7106 2006-10-05
1457336893 Larry Keith Cantley Internal Medicine 755 Highland Oaks Dr, Suite 201, Winston Salem, NC 27103-7106 2005-12-08
1023000676 Kellie A Faulk Internal Medicine 1400 Westgate Center Drive, Suite 130, Winston Salem, NC 27103-3104 2005-08-19
1376092056 Novant Medical Group, Inc Internal Medicine 1400 Westgate Center Drive, Suite 130, Winston Salem, NC 27103-3104 2016-09-23
1982023172 Matthew Gorris Internal Medicine Medical Center Blvd, Winston Salem, NC 27157-0001 2014-04-15
1740627496 Mark Vincent Guido Internal Medicine 755 Highland Oaks Dr Ste 201, Winston Salem, NC 27103 2013-06-03
1801026810 Pooja Raghavan Internal Medicine 755 Highland Oaks Dr, Ste 201, Winston Salem, NC 27103-7106 2009-07-24
1437320959 Kavya Chitra Mekala Internal Medicine Medical Center Blvd, Section On Endocrinology, E Floor Nutrition Building, Winston Salem, NC 27157-0001 2008-03-13
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27103

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Dataset Information

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.

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