Provider Demographics
NPI:1407807514
Name:SPIEKER, JOHN EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDWARD
Last Name:SPIEKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:211 EXECUTIVE DR STE 11
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3358
Mailing Address - Country:US
Mailing Address - Phone:302-451-6913
Mailing Address - Fax:302-368-7756
Practice Address - Street 1:17005 OLD ORCHARD RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4828
Practice Address - Country:US
Practice Address - Phone:302-644-3311
Practice Address - Fax:302-644-3300
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10002767207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
51-0370286OtherDEVON HEALTH CARE SERVICES
51-0370286OtherGREAT-WEST HEALTHCARE
68768 - HMOOtherAETNA US HEALTHCARE
204946OtherUNISON HEALTH PLAN
51-0370286OtherHEALTH NET - TRICARE/CHAMPUS
DE0000109301Medicaid
0092063000OtherAMERIHEALTH
51-0370286OtherCORVEL/CORCARE
DE51-0370286OtherEASTERN SUSSEX PHYSICIANS ORGANIZATION
200031675OtherRAILROAD MEDICARE
4281027 - NON-HMOOtherAETNA US HEALTHCARE
51-0343207OtherBLUE CROSS BLUE SHIELD OF DELAWARE
51-0370286OtherUNITED HEALTHCARE
314800OtherONENET PPO, MAMSI, OPTIMUM CHOICE
510370286-003OtherCIGNA
51-0370286OtherHEALTH NET - TRICARE/CHAMPUS
68768 - HMOOtherAETNA US HEALTHCARE
DE51-0370286OtherEASTERN SUSSEX PHYSICIANS ORGANIZATION
51-0370286OtherUNION LABOR LIFE INSURANCE COMPANY