Basic Information
| Provider Information | |||||||||
| NPI: | 1043453632 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SPIRES | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | SCHAEFFER | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | A2200 MCN | ||||||||
| Address2: | 1161 21ST AVE S | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372320011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153222035 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2105 EDWARD CURD LN | ||||||||
| Address2: | SUITE B300 | ||||||||
| City: | FRANKLIN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370675662 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153222035 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/12/2009 | ||||||||
| LastUpdateDate: | 07/12/2016 | ||||||||
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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 | 207RI0200X | 48091 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
ID Information
| ID | Type | State | Issuer | Description | 7100209290 | 05 | KY | MEDICAID | 1528754 | 05 | TN | MEDICAID | 4329461 | 01 | TN | BLUECROSS BLUESHIELD | OTHER |