Basic Information
Provider Information
NPI: 1427074210
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPIGEL
FirstName: DAVID
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 440100
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372440100
CountryCode: US
TelephoneNumber: 6153290570
FaxNumber:  
Practice Location
Address1: 250 25TH AVE N
Address2: STE 100
City: NASHVILLE
State: TN
PostalCode: 372031632
CountryCode: US
TelephoneNumber: 6153290570
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/14/2006
LastUpdateDate: 06/08/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RX0202X37373TNY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

ID Information
IDTypeStateIssuerDescription
6406364705KY MEDICAID
405766801 BCBS OF TNOTHER
388330305TN MEDICAID
704642101 AETNAOTHER
360009001 UNITED HEALTHCAREOTHER
P0000466001 RAILROAD MEDICAREOTHER


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