MEDICARE: DR. MICHAEL SPERLING 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	207RG0100X	Gastroenterology Physician	0101029762	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00023315	OTHER		MEDICARE RAILROAD ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
2	325200	OTHER	ANTHEM
3	15136	OTHER	SENTARA
4	325206	OTHER	ANTHEM
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508865569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL SPERLING M.D.

Provider Business Mailing Address
First Line	:	113 GAINSBOROUGH SQ STE 101
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-1713
Country	:	US
Telephone Number	:	757-436-3285
Fax Number	:	757-436-2262

Provider Business Practice Location Address
First Line	:	113 GAINSBOROUGH SQ STE 202
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-1714
Country	:	US
Telephone Number	:	757-627-6416
Fax Number	:	757-627-3709

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	05/30/2019

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Directions to “ DR. MICHAEL SPERLING M.D.” Practice Location

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