MEDICARE: JAMES FRANKLIN SPEARS II MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	15571	WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00157831	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154353407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES FRANKLIN SPEARS II MD

Provider Business Mailing Address
First Line	:	415 MORRIS STREET
Second Line	:	SUITE 304
City	:	CHARLESTON
State	:	WV
Zip	:	25301
Country	:	US
Telephone Number	:	304-388-7782
Fax Number	:	304-388-7788

Provider Business Practice Location Address
First Line	:	314 GOFF MOUNTAIN RD
Second Line	:	SUITE 3
City	:	CHARLESTON
State	:	WV
Zip	:	25313-6602
Country	:	US
Telephone Number	:	304-388-7070
Fax Number	:	304-388-7075

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	08/21/2013

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