Provider Demographics
NPI:1316172265
Name:FRANK A. SPELLMAN, M.D., P.C.
Entity type:Organization
Organization Name:FRANK A. SPELLMAN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SPELLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-331-1188
Mailing Address - Street 1:901 A ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-6268
Mailing Address - Country:US
Mailing Address - Phone:202-331-1188
Mailing Address - Fax:202-833-8872
Practice Address - Street 1:901 A ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-6268
Practice Address - Country:US
Practice Address - Phone:202-331-1188
Practice Address - Fax:202-833-8872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC023752700Medicaid
DC023752700Medicaid
DC068791Medicare PIN