Michael Todd Spataro (NPI# 1083871206, PAC ID# 1052583069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1083871206 |
| PAC ID by PECOS | 1052583069 |
| Professional Enrollment ID | I20130325000047 |
| Full Name | Michael Todd Spataro |
| Organization Legal Name | SOUTH COAST PATHOLOGY SERVICES LTD |
| Address |
4500 13th St Gulfport MS 39501-2515 |
| Phone Number | 2288674000 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2004 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 3476550872 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250019 | MEMORIAL HOSPITAL AT GULFPORT |
| 250123 | GARDEN PARK MEDICAL CENTER |
| 250040 | SINGING RIVER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4500 13th St, Gulfport, MS 39501-2515 | 2288674000 | SOUTH COAST PATHOLOGY SERVICES LTD |
| Organization Legal Name | SOUTH COAST PATHOLOGY SERVICES LTD |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew L Safley | Pathology | South Coast Pathology Services Ltd | 4500 13th St, Gulfport, MS 39501-2515 |
| Jack Q Causey Ii | Pathology | South Coast Pathology Services Ltd | 4500 13th St, Gulfport, MS 39501-2515 |
| Charles E Slonaker | Pathology | South Coast Pathology Services Ltd | 4500 13th St, Gulfport, MS 39501-2515 |
| Street Address |
4500 13TH ST |
| City | GULFPORT |
| State | MS |
| Zip | 39501-2515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Safley | Anesthesiology | Memorial Hospital At Gulfport | 4500 13th St, Gulfport, MS 39501-2515 |
| Eric D Lawson | Diagnostic Radiology | Smb Radiology Pa | 4500 13th St, Gulfport, MS 39501-2515 |
| Raymond E Tipton Jr. | Diagnostic Radiology | Smb Radiology Pa | 4500 13th St, Gulfport, MS 39501-2515 |
| Nabil J Azar | Internal Medicine | Memorial Hospital At Gulfport | 4500 13th St, Gulfport, MS 39501-2515 |
| Stanley Alan Turner | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 4500 13th St, Gulfport, MS 39501-2515 |
| Davis Ray Hutto | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 4500 13th St, Gulfport, MS 39501-2515 |
| Indrajit J Patel | Internal Medicine | Memorial Hospital At Gulfport | 4500 13th St, Gulfport, MS 39501-2515 |
| Kara Elizabeth Ward | Emergency Medicine | Memorial Hospital At Gulfport | 4500 13th St, Gulfport, MS 39501-2515 |
| Juanita L Derouen | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 4500 13th St, Gulfport, MS 39501-2515 |
| Ashley Blappert | Nurse Practitioner | Care Doc LLC | 4500 13th St, Gulfport, MS 39501-2515 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason V Smith | Otolaryngology | 3017 13th St, Gulfport, MS 39501-1833 | |
| Samuel Robinson | Otolaryngology | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 3017 13th St, Gulfport, MS 39501-1833 |
| Gregory K Meekin | Otolaryngology | 1201 31st Ave, Gulfport, MS 39501-1847 | |
| Melissa K Rounsaville | Qualified Audiologist | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 1201 31st Ave, Gulfport, MS 39501-1847 |
| Carla Ann Rushing | Nurse Practitioner | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Mario A Nievas | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| James K Campbell | Gastroenterology | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Lauren Hitt | Nurse Practitioner | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Stephanie Fussell | Medical Oncology | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Christopher Jones | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Find all physicians in zip 39501 | |||
| City | GULFPORT |
| Zip Code | 39501 |
| Specialty | PATHOLOGY |
| City + Specialty | GULFPORT + PATHOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.