Organization
JESSICA SPAYD
Active
Other names
Eagle River Pain & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA J SPAYD ANP (REGISTERED AGENT)
(907) 622-4673
Entity
Organization
Contact information
Practice address
11823 OLD GLENN HWY, SUITE 110, EAGLE RIVER, AK 99577-7734
(907) 622-4673
(907) 622-4674
Mailing address
11823 OLD GLENN HWY, SUITE 110, EAGLE RIVER, AK 99577-7734
(907) 622-4673
(907) 622-4674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4245, 677, 20608
AK
207QA0401X
Addiction Medicine (Family Medicine) Physician
4245, 677, 20608
AK
207QS0010X
Sports Medicine (Family Medicine) Physician
4245, 677, 20608
AK
208100000X
Physical Medicine & Rehabilitation Physician
4245, 677, 20608
AK
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
4245, 677, 20608
AK
208D00000X
General Practice Physician
4245, 677, 20608
AK
208VP0000X
Pain Medicine Physician
Primary
4245, 677, 20608
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326187055
DR. HEROLD'S NPI
—
01
—
1386602019
ANP SPAYD NPI
—
05
—
MD42453
—
AK
05
—
NP9295
—
AK
Enumeration date
03/15/2007
Last updated
04/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us