Physician Compare National (NPI:1528060183)

HEALTHCARE PROVIDER: EDWARD CAREY SPOON JR. MD

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

Individual Professional Information
NPI	1528060183
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769621713
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130624000237
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SPOON
	Individual professional last name
Provider First Name	EDWARD
	Individual professional first name
Provider Middle Name	CAREY
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	401 N BUFFALO DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	LAS VEGAS
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	891450397
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y