CRAIG R SPENCER


Address: 520 S Eagle Rd, Ste 3112, Meridian, ID 83642-6351
Phone: 2087065800

CRAIG R SPENCER (NPI# 1033186606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033186606
Entity Type Individual
Full Name CRAIG R SPENCER
Credential MD
Practice Address 520 S Eagle Rd
Ste 3112
Meridian
ID 83642-6351
Mailing Address 190 E Bannock St
Boise
ID 83712-6241
Practice Telephone 2087065800
Practice Fax Number 2087065810
Mailing Telephone 2083812222
Enumeration Date 2006-03-02
Last Update Date 2012-09-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology M10519 ID Allopathic & Osteopathic Physicians
N 208800000X Urology MD00044961 WA Allopathic & Osteopathic Physicians

Other Providers CRAIG SPENCER

NPI Name Taxonomy Address Enumeration
1427136860 Craig A Spencer Dentist 10175 W Lincoln Hwy, Frankfort, IL 60423-1274 2006-11-02
1497763353 Craig D Spencer Dentist 721 Us Hwy 1, #106, North Palm Beach, FL 33408 2006-08-04
1356503155 Craig Spencer Emergency Medicine 630 West 168th Street, Columbia University Medical Center, New York, NY 10032 2008-07-02
1942379383 Craig Winsor Spencer Dentist 1801 E Saginaw St, Lansing, MI 48912-2326 2006-11-08

Office Location

Street Address 520 S EAGLE RD
STE 3112
City MERIDIAN
State ID
Zip Code 83642-6351

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356348015 Robert E. Holland Jr. Family Medicine 520 S Eagle Rd, Ste 1241, Meridian, ID 83642-6351 2005-07-07
1659984284 Heather R Zimmerman Occupational Therapist 520 S Eagle Rd, Meridian, ID 83642-6351 2020-08-24
1619587573 Maria Herbison Pharmacist 520 S Eagle Rd, Meridian, ID 83642-6351 2020-08-05
1952927543 Grayson T Kendall Pharmacist 520 S Eagle Rd, Meridian, ID 83642-6351 2020-06-19
1891310371 David Joseph Matthews Respiratory Therapist, Registered 520 S Eagle Rd, Meridian, ID 83642-6351 2020-06-10
1356960603 Rebecca Finder Pharmacist 520 S Eagle Rd, Meridian, ID 83642-6351 2020-04-15
1982231023 Stephen Blake Miltner Physical Therapist 520 S Eagle Rd, Meridian, ID 83642-6351 2020-03-26
1093342834 Clayton Hawks Nurse Practitioner 520 S Eagle Rd, Meridian, ID 83642-6351 2020-03-23
1912547647 Emily Tyler Getlein Marques Nurse Practitioner 520 S Eagle Rd, Meridian, ID 83642-6351 2020-01-10
1184264244 Jordan Leach Pharmacist 520 S Eagle Rd, Meridian, ID 83642 2020-01-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1073133328 Prescription Pad LLC Pharmacy 885 S Vanguard Way, Meridian, ID 83642 2020-04-16
1609412683 Meridian Advanced Psychiatry, LLC Psychiatry & Neurology 1672 S Woodsage Ave., Meridan, ID 83642 2019-11-25
1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
Find all providers in zip 83642

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699242123 Treasure Valley Urology Pllc Urology 3090 E Gentry Way Ste 220, Meridian, ID 83642-3550 2018-11-02
1346407921 Helen Jia-ru Kuo Urology 2855 E. Magic View Drive, Meridian, ID 83642 2008-05-21
1912088295 Urology Clinic of Meridian, P.a. Urology 1302 20th Ave, Meridian, MS 39301-4120 2006-10-17
1710097068 Jared G Heiner Urology 3085 E Magic View Dr Ste 140, Meridian, ID 83642-3745 2006-08-30
1174156418 Lea Jo Piper Urology 2855 E Magic View Dr, Meridian, ID 83642-6245 2020-02-14
1316331705 Adam Schatz Urology 2855 E Magic View Dr, Meridian, ID 83642-6245 2015-03-24
1083025951 Andrew Gowdey Urology 1800 12th St, Meridian, MS 39301-4158 2014-05-14
1659663482 Lisa Michela Parrillo Urology 2855 E Magic View Dr, Meridian, ID 83642-6245 2011-05-12
1831497940 Anderson Physician Alliance, Inc Urology 1302 20th Ave, Meridian, MS 39301-4120 2011-03-14
1689828162 Michael B. Taylor Urology 520 S Eagle Rd, Suite 3112, Meridian, ID 83642-6351 2008-11-10
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 83642

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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