Provider Demographics
NPI:1093716912
Name:SPIEGEL, JAMES F (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:SPIEGEL
Suffix:
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:PO BOX 749730
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-9730
Mailing Address - Country:US
Mailing Address - Phone:855-743-5921
Mailing Address - Fax:302-733-0854
Practice Address - Street 1:751 NE BLAKELY DR
Practice Address - Street 2:STE 1090
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-6201
Practice Address - Country:US
Practice Address - Phone:425-313-4200
Practice Address - Fax:425-313-4201
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000354052085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA920003916OtherRAILROAD MEDICARE
WA8225385Medicaid
AKMD0414WMedicaid
WA920003916OtherRAILROAD MEDICARE
WAAB01200Medicare PIN