Basic Information
| Provider Information | |||||||||
| NPI: | 1316995236 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SPIRO | ||||||||
| FirstName: | ARTHUR | ||||||||
| MiddleName: | WALTER | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 251 N BAYOU ST | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366035827 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2516908847 | ||||||||
| FaxNumber: | 2516908859 | ||||||||
| Practice Location | |||||||||
| Address1: | 3810 WULFF RD E | ||||||||
| Address2: | |||||||||
| City: | SEMMES | ||||||||
| State: | AL | ||||||||
| PostalCode: | 365755256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514450582 | ||||||||
| FaxNumber: | 2514450579 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2006 | ||||||||
| LastUpdateDate: | 03/08/2016 | ||||||||
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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 | 207P00000X | DO-295 | AL | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | 208D00000X | DO 295 | AL | N | Allopathic & Osteopathic Physicians | General Practice |
ID Information
| ID | Type | State | Issuer | Description | 630000013 | 05 | AL | MEDICAID | 011846 | 01 | AL | MEDICARE GROUP PAYEE NUMBER | OTHER | 1063439065 | 01 | AL | MAIN GROUP NPI PAYEE NUMBER | OTHER | 051556724 | 05 | AL | MEDICAID |