MEDICARE: DR. DEBRA KAY SPATZ D. O.

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	0102207689	VI
2	207X00000X	Orthopaedic Surgery Physician	H0044787	MD

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	:	1932175288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA KAY SPATZ D. O.

Provider Business Mailing Address
First Line	:	856 J CLYDE MORRIS BLVD STE A
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23601-1318
Country	:	US
Telephone Number	:	757-316-5800
Fax Number	:

Provider Business Practice Location Address
First Line	:	20486 MARKET STREET
Second Line	:
City	:	ONANCOCK
State	:	VA
Zip	:	23417-2341
Country	:	US
Telephone Number	:	757-302-2700
Fax Number	:

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	02/14/2023

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