DR. ERIC DAXTON SPENCER (NPI# 1518594761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518594761 |
| Entity Type | Individual |
| Full Name | DR. ERIC DAXTON SPENCER |
| Credential | DO, MS, RN |
| Practice Address |
5001 Hardy St Hattiesburg MS 39402-1308 |
| Mailing Address |
417 Concord Pl Nw Cleveland TN 37312-8225 |
| Practice Telephone | 6012963963 |
| Mailing Telephone | 4237181391 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154753044 | Eric Christopher Spencer | Physical Therapist | 2615 Sw 22nd Ave, Apt.1, Miami, FL 33133-2366 | 2013-08-02 |
| 1558824243 | Eric Spencer | Case Manager/Care Coordinator | 2750 Sutterville Rd, Sacramento, CA 95820-1024 | 2019-04-09 |
| 1689105611 | Eric Spencer | Family Medicine | 12436 Gregg Manor Rd, Manor, TX 78653-4138 | 2017-03-22 |
| 1215225115 | Eric Lloyd Spencer | Physical Therapist | 1224 E Westview Ct, Spokane, WA 99218-3813 | 2011-07-13 |
| 1790947265 | Eric W Spencer | Dentist | 4735 Ogletown Stanton Rd, Medical Arts Pavilion 2, Ste 1115, Newark, DE 19713-2072 | 2008-06-26 |
| 1255504239 | Eric N. Spencer | Counselor | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2008-04-10 |
| 1568417574 | Eric A Spencer | Emergency Medicine | 1460 G St, Springfield, OR 97477-4112 | 2006-05-24 |
| 1245219856 | Eric M Spencer | Orthopaedic Surgery | 970 N Broadway, Suite 204, Yonkers, NY 10701-1309 | 2006-01-12 |
| Street Address |
5001 HARDY ST |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475315 | Gregory Richard Sims | Registered Nurse | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2005-05-24 |
| 1497377170 | Kristi Morgan | Social Worker | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-05-15 |
| 1275154619 | Wesley Health System LLC | Clinical Medical Laboratory | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-04-27 |
| 1477181899 | Shivalika Rhea Singh | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-31 |
| 1750919163 | Christopher Riley | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-31 |
| 1295363729 | Hora Nemati Rezvani | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-30 |
| 1275161788 | Michael Corso | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-30 |
| 1871121582 | Alexander Oh | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-29 |
| 1073141891 | Vashishtha Patel | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-28 |
| 1316575160 | Madeline Sarah Larossa | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420092 | Merrick Greene Jackson | Student in an Organized Health Care Education/Training Program | 120 Natalie Ln, Hattiesburg, MS 39402-3080 | 2020-09-07 |
| 1730709627 | Logan Armond Wilson | Student in an Organized Health Care Education/Training Program | 301 Romar Pl, Hattiesburg, MS 39402-1299 | 2020-04-21 |
| 1417590142 | Keshun Jackson | Student in an Organized Health Care Education/Training Program | 203 N 25th Ave, Hattiesburg, MS 39401-5958 | 2019-10-25 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1609338318 | Naimish Mehta | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street - Merit Health Wesley, Hattiesburg, MS 39602 | 2019-04-02 |
| 1245690551 | Dustin Kilpatrick | Student in an Organized Health Care Education/Training Program | 111 Breckenridge Dr, Apt 304, Hattiesburg, MS 39402-7324 | 2016-02-29 |
| 1982211496 | Jessica Lero | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-29 |
| 1578170429 | Ranesha Cook | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-24 |
| 1437766540 | Trinity Latrice Mcclain | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-23 |
| 1255947461 | Madison Grace Mitchell | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-22 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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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.