Provider Demographics
NPI:1801826185
Name:SPIGEL, STUART C (MD)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:C
Last Name:SPIGEL
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 440100
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0100
Mailing Address - Country:US
Mailing Address - Phone:615-329-0570
Mailing Address - Fax:
Practice Address - Street 1:103 NATCHEZ PARK DR
Practice Address - Street 2:STE 103
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-9013
Practice Address - Country:US
Practice Address - Phone:615-451-5481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9498207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0048936OtherBCBS OF TN
4082679OtherAETNA
KY64745771Medicaid
3640094OtherUNITED HEALTHCARE
830003487OtherRAILROAD MEDICARE
TN3168954Medicaid
4082679OtherAETNA
B03313Medicare UPIN