Provider Demographics
NPI:1609864982
Name:SPELLMAN, JAMES E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:SPELLMAN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:400 SAVANNAH RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1499
Mailing Address - Country:US
Mailing Address - Phone:302-645-6555
Mailing Address - Fax:302-644-3560
Practice Address - Street 1:18947 JOHN J WILLIAMS HWY
Practice Address - Street 2:SUITE 205
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-4474
Practice Address - Country:US
Practice Address - Phone:302-644-0964
Practice Address - Fax:302-644-0968
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2014-02-05
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Provider Licenses
StateLicense IDTaxonomies
DEC100048072086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000000207585OtherUNISON HEALTH CARE-MCAID
DE1609864982OtherDIAMOND STATE MEDICAID
DE1609864982Medicaid
DE1609864982OtherDE PHYSICIAN CARE-MCAID
DE522011SUROtherBCBS OF DELAWARE-SURGICAL
DE563293OtherCOVENTRY HEALTH CARE
DEP00397509OtherRAILROAD MEDICARE
DE522011SUROtherBCBS OF DELAWARE-SURGICAL
DE1609864982Medicaid
F66193Medicare UPIN