DR. MERRITT FULLER SPEAR I


Address: State University New York, 1010 Broad St, Plattsburgh, NY 12901
Phone: 5185642187

DR. MERRITT FULLER SPEAR I (NPI# 1467677815) 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) 1467677815
Entity Type Individual
Full Name DR. MERRITT FULLER SPEAR I
Credential M.D.
Practice Address State University New York
1010 Broad St
Plattsburgh
NY 12901
Mailing Address 2985 Main St.,rte 22
Peru
NY 12972-2927
Practice Telephone 5185642187
Practice Fax Number 5185642188
Mailing Telephone 5186438443
Mailing Fax Number 5186438443
Enumeration Date 2007-04-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RS0010X Internal Medicine
Specialization: Sports Medicine
086460-1 NY Allopathic & Osteopathic Physicians

Office Location

Street Address STATE UNIVERSITY NEW YORK
1010 BROAD ST
City PLATTSBURGH
State NY
Zip Code 12901

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1568958411 Joel Cherian Student in an Organized Health Care Education/Training Program 159 Margaret St Ste 100, Plattsburgh, NY 12901 2018-07-03
1396284477 Florence Reynaud Acupuncturist 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 2017-02-22
1124565783 Mytchel Hector Registered Nurse 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 2017-01-20
1780136697 Michael Bruso Psychologist 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 2016-10-26
1902357536 Ashley Patricia Cota Nurse Practitioner 214 Cornelia St., Plattsburgh, NY 12901 2016-10-19
1255703310 Kenneth Wayne Ackley Licensed Practical Nurse 16 Ampersand Drive, Plattsbugh, NY 12901 2015-10-28
1275949448 Shanni Lee Hicks Specialist 63 Arnold Rd, Plattsburgh, NY 12901 2014-07-08
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Taxonomy Information

Taxonomy Code 207RS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sports Medicine

Taxonomy Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
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.

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1033730148 Pjp Medical Pllc Internal Medicine 489 Atlantic Ave, Brooklyn, NY 11217-2985 2020-04-29
1609287572 Morgan Anderson Busko Internal Medicine 51 W 51st St Ste 370, New York, NY 10019-1918 2014-05-14
1548382831 Station Physical Therapy Internal Medicine 10 E 33rd Street, 2nd Floor, New York, NY 10016 2007-04-06
1043352982 Scott Adam Weiss Internal Medicine 1800 Walt Whitman Rd Ste 120, Melville, NY 11747 2007-02-13
1619032794 Richard E Greene Internal Medicine 227 Madison St Fl 4, Gouverneur Healthcare Services, New York, NY 10002-7537 2006-12-27
1659449353 Jeffrey Delson Internal Medicine 7 Gay St, New York, NY 10014-3536 2006-12-01
1548338411 Irwin Abraham Internal Medicine 206a E. 30th St., New York, NY 10016-8202 2006-12-01
1538250568 Nanuet Medical Services, P.C. Internal Medicine 7 College Avenue, Nanuet, NY 10954 2006-09-27
1710991765 Sheryl Lynn Wulkan Internal Medicine 2 Prohealth Ave, Lake Success, NY 11042 2006-07-27
1255334876 Kevin John Curley Jr. Internal Medicine 222 Station Plz N, Suite 310, Mineola, NY 11501-3808 2005-05-27
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Competitor

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City PLATTSBURGH
Zip Code 12901

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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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