MEDICARE: DR. MICHAEL L SPEARMAN 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	207R00000X	Internal Medicine Physician	R9E82	MO

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

General Provider Information

NPI Number	:	1164598579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL L SPEARMAN M.D.

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 600
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5250
Country	:	US
Telephone Number	:	888-987-1151
Fax Number	:

Provider Business Practice Location Address
First Line	:	9150 OVERLAND PLZ
Second Line	:
City	:	OVERLAND
State	:	MO
Zip	:	63114-6123
Country	:	US
Telephone Number	:	913-224-2112
Fax Number	:	913-392-9703

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

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	05/23/2025

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