DR. PAUL CRAIG SPILLER M.D. NPI 1154320935

Family Medicine in Georgetown, TX

About PAUL SPILLER

Paul Spiller is a provider in Georgetown, TX. The NPI number assigned to this provider is 1154320935. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 2 years ago.

NPI

1154320935

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. PAUL CRAIG SPILLER M.D.
Provider Location Address1507 RIVERY BLVD GEORGETOWN, TX 78628 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 844658 DALLAS, TX 75284 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-14-2005 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-21-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.Q7483
License StateTX
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. PAUL CRAIG SPILLER M.D.
1507 RIVERY BLVD
GEORGETOWN, TX
ZIP 78628
Phone: (512) 509-9550
Fax: (512) 509-9555

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Mailing Address

DR. PAUL CRAIG SPILLER M.D.
PO BOX 844658
DALLAS, TX
ZIP 75284
Phone: (254) 724-8800

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine22040SCNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine040557GANo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
GP4210MEDICAID (05)SC
202660098OTHER (01)SC
000672229FMEDICAID (05)GA
AA19438186MEDICARE PIN (08)SC
AA1943MEDICARE UPIN (02)SC
AA19439092MEDICARE PIN (08)SC
F71245MEDICARE UPIN (02)GA
220406MEDICAID (05)SC
08BBQWJMEDICARE PIN (08)GA
8291MEDICARE PIN (08)SC

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003284688 PAMELA PALMER APRN
Individual
Nurse Practitioner (Family)1507 RIVERY BLVD
GEORGETOWN, TX 78628
(512) 509-9550
1407054646DR. CANDIDA DAWN SUFFRIDGE MD, PHD
Individual
Family Medicine1507 RIVERY BLVD
GEORGETOWN, TX 78628
(512) 509-9550
1568409522 MICHAEL J HILTS M.D.
Individual
Family Medicine1507 RIVERY BLVD
GEORGETOWN, TX 78628
(512) 509-9550
1730197120DR. STEVE K LOESCHEN D.O,
Individual
Family Medicine1507 RIVERY BLVD
GEORGETOWN, TX 78628
(512) 509-9550
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1154320927
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