JON A SPAR MD NPI 1275505182

NPI Information

NPI: 1275505182
Provider Name: JON A SPAR, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1397 WEIMER RD
TAOS, NM
ZIP 87571
Phone: (575) 758-8883
Get Directions

Jon A Spar, MD is a diagnostic radiology radiology in Taos, NM. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jon A Spar, MD NPI is 1275505182. 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:

1397 WEIMER RD
TAOS, NM
ZIP 87571-253
Phone: (575) 758-8883
Fax: (303) 468-1394

The NPI 1275505182 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/3/2006 and was last updated on 1/2/2020.

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	2085R0202X	Radiology	Diagnostic Radiology	85-291	NEW MEXICO	Yes
2	2085R0204X	Radiology	Vascular & Interventional Radiology	85-291	NEW MEXICO	No

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	10001634	OTHER	NEW MEXICO	LOVELACE HEALTH/SALUD
2	NM009U95	OTHER	NEW MEXICO	BCBS
3	PROVP16183	OTHER	NEW MEXICO	MOLINA
4	293431	MEDICAID	ARIZONA
5	P00218005	OTHER		RAILROAD MEDICARE
6	13797	MEDICAID	NEW MEXICO
7	201009513	OTHER	NEW MEXICO	PRESBYTERIAN HEALTH/SALUD

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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