Physician Compare National (NPI:1205809704)

HEALTHCARE PROVIDER: WALTER SPEARS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1205809704
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042374431
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090129000605
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SPEARS
	Individual professional last name
Provider First Name	WALTER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HOWARD UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ADDICTION MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ADDICTION MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2595 E WASHINGTON BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 107
	Group Practice or individual's line 2 address
City	PASADENA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	911071409
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y