Provider Demographics
NPI:1154353407
Name:SPEARS, JAMES FRANKLIN II (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:FRANKLIN
Last Name:SPEARS
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 MORRIS STREET
Mailing Address - Street 2:SUITE 304
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301
Mailing Address - Country:US
Mailing Address - Phone:304-388-7782
Mailing Address - Fax:304-388-7788
Practice Address - Street 1:314 GOFF MOUNTAIN RD
Practice Address - Street 2:SUITE 3
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25313-6602
Practice Address - Country:US
Practice Address - Phone:304-388-7070
Practice Address - Fax:304-388-7075
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV15571207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00157831OtherRAILROAD MEDICARE
WV0041650000Medicaid
OH0803072Medicaid
F26241Medicare UPIN
SP0725038Medicare PIN
WV0041650000Medicaid
P00785564Medicare PIN