Healthcare Provider Details

I. General information

NPI: 1164598579
Provider Name (Legal Business Name): MICHAEL L SPEARMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9150 OVERLAND PLZ
OVERLAND MO
63114-6123
US

IV. Provider business mailing address

102 WOODMONT BLVD STE 600
NASHVILLE TN
37205-5250
US

V. Phone/Fax

Practice location:
  • Phone: 913-224-2112
  • Fax: 913-392-9703
Mailing address:
  • Phone: 888-987-1151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR9E82
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: