Basic Information
| Provider Information | |||||||||
| NPI: | 1801826185 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SPIGEL | ||||||||
| FirstName: | STUART | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 440100 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372440100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153290570 | ||||||||
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| Practice Location | |||||||||
| Address1: | 103 NATCHEZ PARK DR | ||||||||
| Address2: | STE 103 | ||||||||
| City: | DICKSON | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370559013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6154515481 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2006 | ||||||||
| LastUpdateDate: | 01/24/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RX0202X | 9498 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
ID Information
| ID | Type | State | Issuer | Description | 0048936 | 01 | BCBS OF TN | OTHER | 4082679 | 01 | AETNA | OTHER | 64745771 | 05 | KY | MEDICAID | 3640094 | 01 | UNITED HEALTHCARE | OTHER | 830003487 | 01 | RAILROAD MEDICARE | OTHER | 3168954 | 05 | TN | MEDICAID |