GEORGE SPANOS (NPI# 1760412654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760412654 |
| Entity Type | Individual |
| Full Name | GEORGE SPANOS |
| Credential | DO |
| Practice Address |
650 Nuckolls Rd Bolivar TN 38008-1532 |
| Mailing Address |
1804 Highway 45 Byp Ste 604 Jackson TN 38305-4436 |
| Practice Telephone | 7316608759 |
| Mailing Telephone | 7316608759 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2009-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 810 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | P00276317 | 01 | |
| TN | 3307622 | 05 | |
| BCBS | 4106215 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437520012 | George Lionel Spanos | Audiologist | 809 Lamont Street, Building 204 Audiology, Mountain Home, TN 37684 | 2015-10-08 |
| 1871777284 | George Kostas Spanos | Radiology | 1200 N State St, Room 3550, Los Angeles, CA 90033-1029 | 2007-12-20 |
| 1649209057 | George A Spanos | Internal Medicine | 9610 Metropolitan Ave, Forest Hills, NY 11375-6625 | 2006-06-30 |
| Street Address |
650 NUCKOLLS RD |
| City | BOLIVAR |
| State | TN |
| Zip Code | 38008-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518957950 | Bolivar General Hospital, Inc. | Medicare Defined Swing Bed Unit | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2005-10-26 |
| 1659713386 | Top Flight Medical Group | Specialist | 650 Nuckolls Rd, Specialty Clinic, Bolivar, TN 38008-1532 | 2013-07-23 |
| 1003181819 | Nathan Strickland | Dietitian, Registered | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2012-03-12 |
| 1205979002 | Bolivar General Hospital Pharmacy | Pharmacy | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2007-02-14 |
| 1174545446 | Bolivar General Hospital, Inc. | General Acute Care Hospital | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2006-07-24 |
| 1689608853 | Jackson Madison County General Hospital | General Acute Care Hospital | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2006-07-11 |
| 1770521940 | William Raymond Carney | Emergency Medicine | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2006-06-02 |
| 1689665754 | Bolivar General Hospital, Inc. | Medicare Defined Swing Bed Unit | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
| 1598326233 | Holly Brooke Shourd | Family Medicine | 1359 W Market St., Bolivar, TN 38008 | 2019-06-24 |
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1326595919 | Ashley Evon Jowers | Nurse Practitioner | 11100 Old Hwy 64 West, Bolivar, TN 38008 | 2016-09-01 |
| 1942458344 | Anita Pearl Johnson | Physical Therapy Assistant | 700 Knuckolls Ave, Bolivar, TN 38008 | 2008-08-28 |
| 1841340007 | State of Tennessee | Public Health or Welfare | 10825 Old Hwy 64, Bolivar, TN 38008 | 2007-01-11 |
| 1164479721 | Betty Ragon Lenoir | Physical Therapist | 789 Tennessee St, Bolivar, TN 38008 | 2006-05-28 |
| 1689623050 | County of Hardeman | Ambulance | 735 Naylor St, Bolivar, TN 38008 | 2006-05-10 |
| 1841287109 | Michiel Brent Rudder | Family Medicine | 622 West Market Street, Bolivar, TN 38008 | 2005-10-03 |
| 1982606497 | Richard Mast Reinhard IIi | Pediatrics | 629 Nuckolls Rd, Bolivar, TN 38008 | 2005-08-15 |
| Find all providers in zip 38008 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619959145 | Gregory Stanley Zolkowski | Emergency Medicine | 910 E San Martin St, Bolivar, MO 65613-2893 | 2005-11-18 |
| 1508939661 | Juan Gustavo Nix | Emergency Medicine | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2006-11-16 |
| 1669545729 | Jeffrey K Smieshek | Emergency Medicine | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2006-11-16 |
| 1356413702 | Jama R Gilpin | Emergency Medicine | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2006-11-14 |
| 1770521940 | William Raymond Carney | Emergency Medicine | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418710 | Tn Tele Md PC | Emergency Medicine | 578 Ivy Dr, Oakland, TN 38060-3132 | 2020-05-13 |
| 1891287090 | Shelby Linwood Gillette Jr. | Emergency Medicine | 170 S Goodlett St Ste A, Memphis, TN 38117-2914 | 2018-06-04 |
| 1225529621 | Hometown Family Medical | Emergency Medicine | 909 Hillsboro Blvd, Manchester, TN 37355-2025 | 2018-05-22 |
| 1780181016 | Jacob Wilson | Emergency Medicine | 1313 21st Avenue, South, 703 Oxford House, Nashville, TN 37232-4700 | 2018-04-12 |
| 1285155531 | Terry Curtis Fultz | Emergency Medicine | 2807 Wallace Ct, Kingsport, TN 37664-5832 | 2017-06-27 |
| 1194255216 | Front Door Medicine Pllc | Emergency Medicine | 3276 Chestnut Cir Nw, Cleveland, TN 37312-2113 | 2017-06-13 |
| 1710413885 | Michael Sidney Reich | Emergency Medicine | 665 Tennessee St, Memphis, TN 38103-8794 | 2017-05-10 |
| 1669907325 | Stephen Lee | Emergency Medicine | 1005 Dr. D B Todd Jr. Blvd., Old Hosp. Bldg., 3rd Floor, Nashville, TN 37208-1224 | 2017-05-01 |
| 1215468277 | Jarrett Woock | Emergency Medicine | 7402 Lee Hwy, Chattanooga, TN 37421-1405 | 2017-03-22 |
| 1871049023 | Keystone Medical Services of West Point Inc | Emergency Medicine | 6075 Poplar Avenue, Suite 401, Memphis, TN 38119-0114 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
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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.