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).
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 |
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 |
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 |
Street Address |
520 S EAGLE RD STE 3112 |
City | MERIDIAN |
State | ID |
Zip Code | 83642-6351 |
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 |
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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 |
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Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
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. |
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 |
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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.