National Provider Identifier
Dale W Sponaugle, MD
Dale W Sponaugle, MD is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Medina, NY and a listed phone number of (585) 798-8054.
Profile Overview
- NPI
- 1023018462
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- July 28, 2005
- Last Updated
- August 30, 2017
Practice Location
- 200 Ohio St
- Medina, NY 14103-1063
Phone: (585) 798-8054
Mailing Address
- 275 Northpointe Pkwy
- Ste 50
- Amherst, NY 14228-1895
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1023018462
- Entity Type
- Individual
- Last Name
- Sponaugle
- First Name
- Dale
- Middle Name
- W
- Credential
- MD
- Mailing Street Address
- 275 Northpointe Pkwy
- Mailing Address Line 2
- Ste 50
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14228-1895
- Mailing Country
- US
- Mailing Phone
- (716) 692-2160
- Mailing Fax
- (716) 692-4342
- Practice Street Address
- 200 Ohio St
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103-1063
- Practice Country
- US
- Practice Phone
- (585) 798-8054
- Practice Fax
- (585) 798-8150
- Enumeration Date
- July 28, 2005
- Last Updated
- August 30, 2017
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- 000525331009 (NY, BCBS Wny), 201590500 (Federal Workers Comp), P010164356 (NY, Rochester BCBS), 020382600 (Federal Black Lung), 040403006845 (NY, Fidelis Care New York), 117837FF (NY, Preferred Care), 00020548502 (NY, Univera Healthcare), 01257134 (NY), 5690902 (NY, Independent Health), 164356 (NY, Workers Compensation)