DR. JAROD SPENCER (NPI# 1619394061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619394061 |
| Entity Type | Individual |
| Full Name | DR. JAROD SPENCER |
| Credential | DPM |
| Practice Address |
5125 Skyline Rd S Salem OR 97306-9427 |
| Practice Telephone | 5039159926 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2020-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
DP190571 | OR | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
DP190571 | OR | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20900 Biscayne Blvd, Aventura, FL 331801407 | 3056827000 | |
| 5201 Eden Ave Ste 50, Edina, MN 554362367 | 7635457545 | 9529292067 |
| 3883 Coon Rapids Blvd Nw, Coon Rapids, MN 554332518 | 9529263566 | 7634229640 |
| 12940 Harriet Ave S Ste 230, Burnsville, MN 553372794 | 9529263566 | 9524260029 |
| 7250 France Ave S Ste 415, Edina, MN 554354314 | 9529263566 | 9529293358 |
| Street Address |
5125 SKYLINE RD S |
| City | SALEM |
| State | OR |
| Zip Code | 97306-9427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407826563 | Christian A Speer | Internal Medicine | 5125 Skyline Rd S, Gastroenterology, Salem, OR 97306-9427 | 2006-01-23 |
| 1881249597 | Anastasiya Makarenko | Student in an Organized Health Care Education/Training Program | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2019-08-08 |
| 1174075154 | Kaiser Foundation Health Plan of The Northwest | General Practice | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-26 |
| 1457803587 | Lilian May | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-24 |
| 1700336138 | Darryl Johnson | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-10 |
| 1740739937 | Marilee Neuschwander | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-09-28 |
| 1548716921 | Barbara Ann Schnabel | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-08-26 |
| 1720457922 | Bryan Hurliman | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-09-17 |
| 1629453527 | Mary Katherine Burch | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-07-21 |
| 1366836041 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
| 1215470315 | Anthony Quoc Ngo | Nurse Practitioner | 5050 Skyline Village Loop, Salem, OR 97306 | 2016-11-22 |
| 1134521305 | Wendy Poling | Occupational Therapy Assistant | 1966 Madras St Se Apt 1082, Salem, OR 97306 | 2014-09-19 |
| 1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
| 1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
| 1164685574 | Leon Chira | Pharmacist | 2431 Concomly Rd S, Salem, OR 97306 | 2008-07-07 |
| 1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
| 1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
| 1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
| 1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
| Find all providers in zip 97306 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356497622 | Benedict A Profera | Podiatrist | 1589 Innsbrooke Dr, Salem, VA 24153-1785 | 2007-01-26 |
| 1740379387 | James E Lisle | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2006-10-12 |
| 1124661517 | Trevor Tippets Dpm LLC | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2019-10-18 |
| 1528368883 | James E. Lisle Dpm LLC | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2010-11-02 |
| 1457660904 | Dpmbeckmannnror LLC | Podiatrist | 3760 Market St Ne # 105, Salem, OR 97301-1826 | 2010-10-01 |
| 1073785648 | James E. Lisle | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2008-03-24 |
| 1346435864 | Toni D Chadwick | Podiatrist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437204930 | Rogue Valley Foot Clinic P.C. | Podiatrist | 2655 Siskiyou Blvd, Medford, OR 97504-8125 | 2007-01-24 |
| 1659391233 | Leslie O Franson | Podiatrist | 1701 Ne 122nd Ave, Portland, OR 97230-1914 | 2006-07-19 |
| 1669857181 | Central Oregon Foot & Ankle Group, Inc. | Podiatrist | 400 Sw Bluff Dr Ste 220, Bend, OR 97702-1696 | 2015-07-27 |
| 1821431727 | Jason A. Keeler | Podiatrist | 1880 Willamette Falls Dr, #111, West Linn, OR 97068-4652 | 2013-04-10 |
| 1306131032 | Dpmbeckmannnror LLC | Podiatrist | 835 Crater Lake Ave, Medford, OR 97504-6505 | 2011-06-10 |
| 1588959209 | Dpmbeckmannnror LLC | Podiatrist | 835 Sw 11th St, Newport, OR 97365-4802 | 2011-06-10 |
| 1851686570 | Dpmbeckmannnror LLC | Podiatrist | 10435 Se Cora St, Portland, OR 97266-2331 | 2011-06-10 |
| 1306131024 | Dpmbeckmannnror LLC | Podiatrist | 2360 Chambers St, Eugene, OR 97405-1861 | 2011-06-10 |
| 1861673980 | John D Mozena | Podiatrist | 8305 Se Monterey, Ste 101, Portland, OR 97266-7728 | 2007-11-16 |
| 1790987428 | Cascade Foot Clinic | Podiatrist | 2408 Ne Division St, Bend, OR 97701-3543 | 2007-06-04 |
| Find all providers with the same taxonomy | ||||
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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.