Justin K Spooner (NPI# 1720269459, PAC ID# 5991851230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1720269459 |
| PAC ID by PECOS | 5991851230 |
| Professional Enrollment ID | I20130626000095 |
| Full Name | Justin K Spooner |
| Address |
2550 Park St Jacksonville FL 32204-4518 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT, PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100117 | BAPTIST MEDICAL CENTER BEACHES |
| Address | Phone | Organization |
|---|---|---|
| 2550 Park St, Jacksonville, FL 32204-4518 | ||
| 905 Beach Blvd, Suite B, Jacksonville Beach, FL 32250-4303 |
| Street Address |
2550 PARK ST |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32204-4518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Earl R Horowitz | Podiatry | 2550 Park St, Jacksonville, FL 32204-4518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Walsh | Physician Assistant | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| William M Mentz | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Elizabeth Lee Gatch | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kayela Faye Moore | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Mitchell S Rothstein | Pulmonary Disease | 425 N Lee St, Suite 202, Jacksonville, FL 32204-1128 | |
| Eyad S Kawar | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Diana I Mercado | Infectious Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Jose M Soto Soto | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| Joseph P Orallo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kasey E Treger | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Find all physicians in zip 32204 | |||
| City | JACKSONVILLE |
| Zip Code | 32204 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | JACKSONVILLE + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Justin K Spooner.
| 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.