MEDICARE: NEIL HOWARD SPITALNY M.D.

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	207X00000X	Orthopaedic Surgery Physician	MD15735	TN
2	207X00000X	Orthopaedic Surgery Physician	051388	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1537414	OTHER	TN	UMWA HEALTH
3	4139453	OTHER	TN	AETNA
4	100020710	OTHER	TN	HEALTH STRATEGIES
5	3012938	OTHER	TN	ACCESS MED PLUS
6	621753676	OTHER	TN	CIGNA
7	TN0101	OTHER	TN	JOHN DEERE HEALTH
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	621753676	OTHER	TN	UNITED HEALTH CARE
10	3103052	OTHER	TN	BLUE CROSS BLUE SHIELD
11	373943600	OTHER	KY	OWCP KENTUCKY

General Provider Information

NPI Number	:	1114948122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL HOWARD SPITALNY M.D.

Provider Business Mailing Address
First Line	:	5022 OLD GODSEY LN
Second Line	:	SUITE 2
City	:	HIXSON
State	:	TN
Zip	:	37343-6600
Country	:	US
Telephone Number	:	423-870-4999
Fax Number	:	423-870-1985

Provider Business Practice Location Address
First Line	:	5022 OLD GODSEY LN
Second Line	:	SUITE 2
City	:	HIXSON
State	:	TN
Zip	:	37343-6600
Country	:	US
Telephone Number	:	423-870-4999
Fax Number	:	423-870-1985

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

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	03/03/2008

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Directions to “ NEIL HOWARD SPITALNY M.D.” Practice Location

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