Provider Demographics
NPI:1013974229
Name:SPIGGLE, JOHN A (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:SPIGGLE
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 1:500 E PARKER RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-5119
Mailing Address - Country:US
Mailing Address - Phone:828-433-5141
Mailing Address - Fax:828-433-4400
Practice Address - Street 1:500 EAST PARKER ROAD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655
Practice Address - Country:US
Practice Address - Phone:828-433-5141
Practice Address - Fax:828-433-4400
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20948208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC78919OtherBCBS
340020041OtherRAILROAD MEDICARE
NC8978919Medicaid
NC201708AMedicare PIN
C80850Medicare UPIN