MEDICARE: JOSEPH L SPALDING DO

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	2084P0800X	Psychiatry Physician	2000146152	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CU0751	OTHER		RR MEDICARE
7	260051270	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
2	H62325	OTHER	MERCY
3	2114411	OTHER	HEALTHLINK
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	166315	OTHER	BLUE CROSS BLUE SHIELD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073554085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH L SPALDING DO

Provider Business Mailing Address
First Line	:	6500 HOSPITAL DR
Second Line	:	P O BOX 1239
City	:	HANNIBAL
State	:	MO
Zip	:	63401-6890
Country	:	US
Telephone Number	:	573-629-3370
Fax Number	:	573-406-5750

Provider Business Practice Location Address
First Line	:	3145 HIGHWAY 61 STE A
Second Line	:	MENTAL HEALTH
City	:	HANNIBAL
State	:	MO
Zip	:	63401-6588
Country	:	US
Telephone Number	:	573-629-3370
Fax Number	:	573-406-5750

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	01/22/2026

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Directions to “ JOSEPH L SPALDING DO” Practice Location

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