DR. SPENCER LEWIS MORTENSEN


Address: 1500 Dodson Ave Ste 260, Fort Smith, AR 72901-5179
Phone: 4795737905

DR. SPENCER LEWIS MORTENSEN (NPI# 1568716744) 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) 1568716744
Entity Type Individual
Full Name DR. SPENCER LEWIS MORTENSEN
Credential D.P.M
Practice Address 1500 Dodson Ave Ste 260
Fort Smith
AR 72901-5179
Mailing Address 11001 Executive Center Dr Ste 200
Little Rock
AR 72211-4393
Practice Telephone 4795737905
Practice Fax Number 4795737906
Mailing Telephone 5018127215
Mailing Fax Number 5018127207
Enumeration Date 2012-11-09
Last Update Date 2018-12-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
5587758-0501 UT Podiatric Medicine & Surgery Service Providers

Other Providers SPENCER MORTENSEN

NPI Name Taxonomy Address Enumeration
1548321078 Spencer David Mortensen Optometrist 462 E 100 S, Salt Lake City, UT 84111-1802 2006-12-12

Office Location

Street Address 1500 DODSON AVE STE 260
City FORT SMITH
State AR
Zip Code 72901-5179

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922587690 Baptist Health Services Podiatrist 1500 Dodson Ave Ste 260, Fort Smith, AR 72901 2018-08-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922627249 Vaibhav S Desai Student in an Organized Health Care Education/Training Program Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 2020-04-16
1689136475 Prudence Nassem Ipaye-adebiyi Student in an Organized Health Care Education/Training Program Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 2019-04-02
1134608961 Baptist Health Services Otolaryngology 520 Towson Ave, Suite A, Fort Smith, AR 72901 2018-08-13
1316426125 Baptist Health Services Internal Medicine 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 2018-08-13
1396224101 Baptist Health Services Internal Medicine 1001 Towson Ave Ste 100, Fort Smith, AR 72901 2018-08-13
1164901914 Baptist Health Services Internal Medicine 1001 Towson Ave Ste 200, Fort Smith, AR 72901 2018-08-13
1942789755 Baptist Health Services Counselor 1001 Towson Ave Ste 500, Fort Smith, AR 72901 2018-08-13
1669951315 Baptist Health Services Family Medicine 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 2018-08-13
1508345265 Baptist Health Services Internal Medicine 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 2018-08-13
1326527086 Baptist Health Services Family Medicine 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 2018-08-13
Find all providers in zip 72901

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295743557 Crotty Foot Clinic P A Podiatrist 6600 Rogers Ave, Fort Smith, AR 72903-4064 2006-08-03
1922587690 Baptist Health Services Podiatrist 1500 Dodson Ave Ste 260, Fort Smith, AR 72901 2018-08-13
1396808473 Jason L Seiter Podiatrist 1500 Dodson Ave, Ste 290, Fort Smith, AR 72901-5182 2006-12-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649791369 Kyle Haverstrom Podiatrist 200 S 20th St Ste B, Rogers, AR 72758-1100 2017-07-03
1609288984 Aaron Teufel Podiatrist 1794 E Joyce Blvd Ste 2, Fayetteville, AR 72703 2014-05-21
1982968574 Adam Lloyd Bingham Podiatrist 1713 W Main St, Russellville, AR 72801-2721 2012-06-27
1477881092 Bradley Footcare LLC Podiatrist 116 W Tyler Ave Ste B, West Memphis, AR 72301-4221 2009-11-19
1114160389 Jesse H. Bradley Jr. Podiatrist 116 W Tyler Ave, Suite B, West Memphis, AR 72301-4221 2009-04-16
1154571495 Mid-south Foot & Ankle Clinic P C Podiatrist 302 S Rhodes St, West Memphis, AR 72301-4215 2008-09-23
1235314147 Stephanie A. Roth Podiatrist 703 W Main St, Russellville, AR 72801-3616 2008-01-09
1144341827 Carlotta Monique Wells Podiatrist 1132 Malvern Ave, Hot Springs, AR 71901-6347 2007-04-02
1407936388 Angela Lorraine Ayson Podiatrist 11 Halsted Cir Ste E, Rogers, AR 72756-3145 2006-10-16
1104842814 Joseph M. Lacava Podiatrist 3339 Central Ave, Suite F, Hot Springs, AR 71913-6138 2006-07-14
Find all providers with the same taxonomy

Competitor

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City FORT SMITH
Zip Code 72901

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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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