Provider Demographics
NPI:1891768214
Name:SPINOWITZ, HOWARD SCOTT (DO)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:SCOTT
Last Name:SPINOWITZ
Suffix:
Gender:M
Credentials:DO
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 15645
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89114-5645
Mailing Address - Country:US
Mailing Address - Phone:702-877-5310
Mailing Address - Fax:702-877-5310
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3003
Practice Address - Country:US
Practice Address - Phone:352-273-8610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1231207L00000X
FLOS17079207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV102079755 0001OtherPENNSYLVANIA MEDICAID
UT1770556037OtherUTAH MEDICAID
AZ944026OtherARIZONA MEDICAID
NC7616781OtherNO.CAROLINA
FL114777600Medicaid
ID1891768214OtherIDAHO MEDICAID
MN742958000OtherMINNESOTA MEDICAID
NV100506401Medicaid
NVXPY202877Q80OtherCALIFORNIA MEDICAID
OK200122850AOtherOKLAHOMA MEDICAID
OK200122850AOtherOKLAHOMA MEDICAID