CHARLES H SPENCER (NPI# 1548310592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548310592 |
| Entity Type | Individual |
| Full Name | CHARLES H SPENCER |
| Credential | MD |
| Practice Address |
2500 N State St Jackson MS 39216-4500 |
| Mailing Address |
2500 N State St Jmm Suit 2525 Jackson MS 39216-4500 |
| Practice Telephone | 6019841000 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
35090599 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2782761 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 Childrens Dr, Columbus, OH 432052664 | 6147225525 | 6147223194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760896799 | Charles Spencer IIi | Specialist/Technologist | 125 Burnham Rd, Scarborough, ME 04074-9156 | 2014-06-18 |
| 1790973634 | Charles D Spencer | Internal Medicine | 409 Middlefield Road, Hinsdale, MA 01235 | 2007-10-04 |
| 1801838941 | Charles Ervin Spencer | Pharmacist | 203 W Marion St, Kershaw, SC 29067-1412 | 2006-06-12 |
| 1336750207 | Charles W Spencer | Hearing Instrument Specialist | 1155 S Power Rd Ste 109, Mesa, AZ 85206-3716 | 2020-08-13 |
| 1477844041 | Charles Thomas Spencer IIi | Emergency Medicine | 2301 Holmes St, Kansas City, MO 64108-2640 | 2011-04-29 |
| 1184938482 | Charles Spencer | Physical Therapist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2010-07-29 |
| 1972816817 | Charles Frederec Spencer | Chiropractor | 818 E Clark Blvd, Murfreesboro, TN 37130-2324 | 2010-07-20 |
| 1578626578 | Charles N Spencer Jr. | Pediatrics | 648 Hartsville Pike, Gallatin, TN 37066-2523 | 2006-12-19 |
| 1144263450 | Charles L Spencer | Internal Medicine | 3615 Chestnut St, Ralston Penn Center, Philadelphia, PA 19104 | 2006-06-14 |
| Street Address |
2500 N STATE ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556231 | University Ophthalmology Associates | Ophthalmology | 2500 N State St, Ste B329, Jackson, MS 39216-4500 | 2005-05-24 |
| 1396346607 | Ashleigh Renfroe Hannah | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-11-03 |
| 1770182438 | Tara P. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-10-22 |
| 1679189849 | Raegan Wilson | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-22 |
| 1851905095 | Violet Maloba Awori | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-04 |
| 1295348639 | Kassidy Voinche | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-25 |
| 1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
| 1912519364 | Rashmi Verma | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-18 |
| 1982215414 | Anita Dhanrajani | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-10 |
| 1528676954 | Nicholas Mcafee | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 2080P0216X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Rheumatology |
| A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982215414 | Anita Dhanrajani | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-10 |
| 1619236106 | Laura Ashley Tasan | Pediatrics | 2500 N State St, Jackson, MS 39216 | 2012-05-03 |
| 1225181092 | Upa Pllc Rheumatology | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-01-18 |
| 1316983760 | Linda Ilene Ray | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-22 |
Please comment or provide details below to improve the information on CHARLES H SPENCER.
| 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.