# DR. JASON K SPRUNGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306850904
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 01057641A | IN | Yes |
| 208800000X | Urology Physician | MD-46344 | IA | — |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 01/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000292436 | ANTHEM PIN NUMBER | IN |
| 01 | — | 000001354490 | ANTHEM | IN |
| 01 | — | 100194370 | MEDICAID GROUP NUMBER | IN |
| 05 | — | 200439070 | — | IN |
| 01 | — | P00017585 | MEDICARE RAILROAD | IN |