JEFFREY CLARK SPENCER (NPI# 1659332542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659332542 |
| Entity Type | Individual |
| Full Name | JEFFREY CLARK SPENCER |
| Credential | M.D. |
| Practice Address |
14730 Fred Amity Rd Fredericktown OH 43019-9776 |
| Mailing Address |
809 Coshocton Ave Suite B Mount Vernon OH 43050-1900 |
| Practice Telephone | 7406941343 |
| Practice Fax Number | 7406941369 |
| Mailing Telephone | 7403977550 |
| Mailing Fax Number | 7403977640 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 35040551 | OH | Allopathic & Osteopathic Physicians |
| 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 |
| 1144215641 | Jeffrey Spencer | Counselor | 410 N Prince St, Lancaster, PA 17603-3010 | 2005-09-12 |
| 1568982353 | Jeffrey Spencer | Physician Assistant | 160 Allen St, Rutland, VT 05701 | 2017-06-22 |
| 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 |
14730 FRED AMITY RD |
| City | FREDERICKTOWN |
| State | OH |
| Zip Code | 43019-9776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538684717 | Taylor Keener | Occupational Therapy Assistant | 40 Miami Ave, Fredericktown, OH 43019 | 2017-08-08 |
| 1629243068 | Cindy K. Thompson | Counselor | 122 Columbus Rd, Fredericktown, OH 43019 | 2008-04-27 |
| 1881771962 | Robert Eric Burns | Dentist | 121 N Main St, Fredericktown, OH 43019 | 2006-11-01 |
| 1962423558 | Robert Andrew Walker | Chiropractor | 168 Salem Ave, Fredericktown, OH 43019-1024 | 2006-07-21 |
| 1669862421 | Barbara Golden | Licensed Practical Nurse | 151 Tuttle Ave, Fredericktown, OH 43019-1029 | 2015-02-02 |
| 1235336835 | Fredericktown Local Schools | Local Education Agency (LEA) | 134 W 2nd St, Fredericktown, OH 43019-1035 | 2007-06-28 |
| 1336404185 | Joyce A Brake | Licensed Practical Nurse | 17 S Mulberry St, Fredericktown, OH 43019-1210 | 2012-07-09 |
| 1265541510 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 117 South Main Street, Fredericktown, OH 43019-1225 | 2006-08-30 |
| 1710277991 | Lisa K Dilts | Pharmacist | 117 S Main St, Fredericktown, OH 43019-1225 | 2011-04-08 |
| 1598054686 | Linda H Mickley | Pharmacist | 117 S Main St, Fredericktown, OH 43019-1225 | 2011-03-29 |
| Find all providers in zip 43019 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323057 | Adam Feinberg | Neuromusculoskeletal Medicine, Sports Medicine | 1 University Plz Dept Of, Youngstown, OH 44555-0001 | 2020-07-16 |
| 1124649223 | Daniel Allen Givens | Neuromusculoskeletal Medicine, Sports Medicine | 4222 Lofton Pl, Gahanna, OH 43230-9894 | 2020-04-29 |
| 1346756509 | Kayla Beck | Neuromusculoskeletal Medicine, Sports Medicine | 1961 Langram Rd, Put In Bay, OH 43456-6732 | 2017-12-22 |
| 1881814689 | Howard J Schertzinger, Md, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 8746 Union Centre Blvd, West Chester, OH 45069-4876 | 2007-04-26 |
| 1598886053 | Donna Marie Hradisky | Neuromusculoskeletal Medicine, Sports Medicine | 4921 Berkley Rd, Richfield, OH 44286-9486 | 2007-04-03 |
| 1982775995 | Richard Ray | Neuromusculoskeletal Medicine, Sports Medicine | 60 South Pleasant Street, Suite B, Oberlin, OH 44074-1633 | 2006-11-13 |
| 1275622128 | Kempsagar C Ravishankar | Neuromusculoskeletal Medicine, Sports Medicine | 7215 Old Oak Blvd Ste A411, Cleveland, OH 44130-3334 | 2006-10-11 |
| 1023033479 | Michael P. Parker | Neuromusculoskeletal Medicine, Sports Medicine | 433 West High Street, Bryan, OH 43506-1690 | 2006-07-13 |
| 1013993054 | David R. Dunkin | Neuromusculoskeletal Medicine, Sports Medicine | 19 W Ottawa St, Richwood, OH 43344-1138 | 2005-12-21 |
| 1487639134 | Matthew Anthony Bridger | Neuromusculoskeletal Medicine, Sports Medicine | 223 E Town St, Columbus, OH 43215-4683 | 2005-12-14 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKTOWN |
| Zip Code | 43019 |
Please comment or provide details below to improve the information on JEFFREY CLARK 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.