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NPI Code Detail

MEDICARE: JOSEPH W SPRAUL MD

MEDICARE:   JOSEPH W SPRAUL  MD
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
1207W00000XOphthalmology Physician036092488IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2180025650OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12500068OTHERBLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134172141
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH W SPRAUL MD
Provider Business Mailing Address
First Line : PO BOX 372
Second Line :
City : MATTOON
State : IL
Zip : 61938-0372
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 903 MEDICAL PARK DR
Second Line :
City : EFFINGHAM
State : IL
Zip : 62401-2190
Country : US
Telephone Number : 217-347-2933
Fax Number : 217-347-2932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 04/22/2026

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Directions to “ JOSEPH W SPRAUL MD” Practice Location

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