DR. EDWARD LEWIS SPELLMAN MD NPI 1558303727

NPI Information

NPI: 1558303727
Provider Name: DR. EDWARD LEWIS SPELLMAN, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
7000 BOULDER AVE
HIGHLAND, CA
ZIP 92346
Phone: (909) 862-1191
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DR. Edward Lewis Spellman, MD is a neurology psychiatry neurology in Highland, CA with 41 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Edward Lewis Spellman, MD NPI is 1558303727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7000 BOULDER AVE
HIGHLAND, CA
ZIP 92346
Phone: (909) 862-1191

The NPI 1558303727 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 5/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	031860	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	061325634	OTHER		COMMUNITY HEALTH
2	00131860000	OTHER		BLUE CROSS FAMILY PLAN
3	140400	OTHER		WORK COMP
4	061325634	OTHER		UNITED HEALTH
5	010031860CT01	OTHER		BLUE CROSS ANTHEM
6	061325634	OTHER		COMM INS
7	NHS133	OTHER		OXFORD
8	0983647004	OTHER		CIGNA
9	001318600	MEDICAID	CONNECTICUT
10	031860	OTHER		CONNECTI CARE
11	06132S634	OTHER		AETNA
12	0613Z5634	OTHER		FIRST HEALTH
13	130009173	OTHER		RR MEDICARE
14	OR0088	OTHER		HEALTHNET
15	061325634	OTHER		CHAMPUS
16	250952200	OTHER		DEPT OF LABOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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