Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Cedric W. Spak, MD

Individual provider Infectious Disease Physician · NPI 1063575199

Dr. Cedric W. Spak, MD is an Infectious Disease in Provo, Utah. Graduated from University of Texas Southwestern Medical School at Dallas in 1999, 27 years ago. Practices with Texas Centers for Infectious Disease Associates PA, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas, Utah and Washington.

Years since qualifying
27
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
TX, UT, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

395 W Cougar Blvd Ste 202
Provo, UT 84604-3328
Phone: (801) 357-1772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1025 College Ave, Fort Worth, TX 76104-3013 — (817) 810-9810

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 14293240-1205 (UT)
Infectious Disease Physician Taxonomy 207RI0200X · Licence L1206 (TX)
Infectious Disease Physician Taxonomy 207RI0200X · Licence MD00043412 (WA)

Record details

NPI number1063575199
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINFECTIOUS DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 1999 (27 years in practice)
Group practice Texas Centers For Infectious Disease Associates Pa — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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