JEFFREY SPENCER (NPI# 1568982353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568982353 |
Entity Type | Individual |
Full Name | JEFFREY SPENCER |
Credential | PA-C |
Practice Address |
160 Allen St Rutland VT 05701 |
Mailing Address |
160 Allen St Rutland VT 05701-4560 |
Practice Telephone | 8027473602 |
Practice Fax Number | 8027473847 |
Mailing Telephone | 8027473602 |
Mailing Fax Number | 8027473847 |
Enumeration Date | 2017-06-22 |
Last Update Date | 2019-06-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 020896-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
055.0031398 | VT | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2215 Burdett Ave, Troy, NY 12180 | 5182713300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
1609965169 | Jeffrey Dean Spencer | Chiropractor | 1414 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2006-10-12 |
1659332542 | Jeffrey Clark Spencer | Neuromusculoskeletal Medicine, Sports Medicine | 14730 Fred Amity Rd, Fredericktown, OH 43019-9776 | 2006-03-30 |
1144215641 | Jeffrey Spencer | Counselor | 410 N Prince St, Lancaster, PA 17603-3010 | 2005-09-12 |
1700049392 | Jeffrey Wade Spencer | Emergency Medicine | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2008-07-03 |
1558426890 | Jeffrey V. Spencer | Obstetrics & Gynecology | 820 Bestgate Rd, Suites 2c & 2d, Annapolis, MD 21401-3404 | 2006-12-27 |
1770684839 | Jeffrey Leon Spencer | Counselor | 212 Overland Dr, Greenwood, SC 29646-4069 | 2006-09-25 |
1447210257 | Jeffrey Thomas Spencer | Nurse Anesthetist, Certified Registered | 4800 Belfort Rd, Jacksonville, FL 32256-6004 | 2006-03-24 |
1609876853 | Jeffrey Spencer | Anesthesiology | 400 E Main St, Northern Westchester Hospital, Mount Kisco, NY 10549-3417 | 2005-07-29 |
Street Address |
160 ALLEN ST |
City | RUTLAND |
State | VT |
Zip Code | 05701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821083650 | Melbourne Duncan Boynton | Specialist | 160 Allen St, Rutland, VT 05701-4560 | 2005-09-19 |
1992305395 | Katie Parker | Registered Nurse | 160 Allen St, Rutland, VT 05701-4560 | 2020-10-27 |
1194334847 | Michelle Hoffman | Counselor | 160 Allen St, Rutland, VT 05701-4560 | 2020-07-29 |
1164047981 | Catherine Yakunovich | Social Worker | 160 Allen St, Rutland, VT 05701-4560 | 2020-06-09 |
1518512193 | Michele Denise Pilz | Counselor | 160 Allen St, Rutland, VT 05701-4560 | 2019-08-09 |
1346703360 | Danielle M Robillard | Nurse Practitioner | 160 Allen St, Rutland, VT 05701-4560 | 2019-04-08 |
1750895827 | Kathleen O'hara | Speech-Language Pathologist | 160 Allen St, Rutland, VT 05701-4560 | 2017-11-27 |
1518492560 | Emily Feinberg | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2017-04-27 |
1972038305 | Ella Obrosky | Nurse Anesthetist, Certified Registered | 160 Allen St, Rutland, VT 05701-4560 | 2017-04-24 |
1740712827 | Stephanie Roach | Social Worker | 160 Allen St, Rutland, VT 05701-4560 | 2017-03-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
Find all providers in zip 05701 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013938992 | Abigail Rose Brown | Physician Assistant | 173 S Main St, Rutland, VT 05701-4713 | 2006-07-23 |
1427589670 | David Wallstrom | Physician Assistant | 160 Allen Street, Emergency Department, Rutland, VT 05701 | 2017-03-21 |
1184163297 | Blake Lopes | Physician Assistant | 6 Commons St, Rutland, VT 05701-4651 | 2017-02-22 |
1376081034 | Jennifer Kish Hopkins | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2017-02-02 |
1174076152 | Jessica J Baughman | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2016-07-26 |
1427156041 | Linda Marie Mckenna | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2006-09-20 |
1770681587 | Michael P Vooris | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2006-09-20 |
1366453573 | Regina Catherine Springer | Physician Assistant | 71 Allen St, Suite 203, Rutland, VT 05701-4570 | 2006-08-11 |
1124042163 | Robert G. Mitchell | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2006-07-26 |
1306802194 | Timothy J Lensing | Physician Assistant | 215 Stratton Rd, Rutland, VT 05701-4621 | 2006-04-21 |
Find all providers in RUTLAND |
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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.