MR. MARVIN LEE SPICER III (NPI# 1659851152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659851152 |
| Entity Type | Individual |
| Full Name | MR. MARVIN LEE SPICER III |
| Practice Address |
2808 Mclamb Pl Goldsboro NC 27534-1600 |
| Mailing Address |
2700 Wayne Memorial Dr Goldsboro NC 27534-9494 |
| Practice Telephone | 9195873169 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2808 MCLAMB PL |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508846569 | Hector Manuel Pedraza | Orthopaedic Surgery | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2006-01-18 |
| 1427538446 | Angelo Thompson | Physical Therapist | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2018-08-20 |
| 1487134888 | Katina Ann Holland-rhudy | Occupational Therapist | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2018-08-16 |
| 1770063083 | Meredith Kelly | Physical Therapist | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2018-08-16 |
| 1720504178 | Andrew Mcknight | Physician Assistant | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2017-08-17 |
| 1659640761 | Goldsboro Orthopedics, LLC | Orthopaedic Surgery | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2011-12-19 |
| 1417253204 | Robin Lear Dawson | Physician Assistant | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2011-01-27 |
| 1124283783 | Michael Loren Smith | Physical Therapist | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2008-07-23 |
| 1710912191 | George W Eason | Radiology | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2006-07-12 |
| 1184656936 | Atlantic Radiology Associates Pa | Radiology | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427538446 | Angelo Thompson | Physical Therapist | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438292 | Letizia B Migliaccio | Physical Therapist | 3726 Battleground Ave # B, Greensboro, NC 27410-2344 | 2020-05-11 |
| 1396371787 | Teresa Blake Robertson Elder | Physical Therapist | 120 Grandview Ave, Brevard, NC 28712-4727 | 2020-03-17 |
| 1821650367 | Peak Pelvic Health Physical Therapy, LLC | Physical Therapist | 160 Macgregor Pines Dr Ste 101, Cary, NC 27511-6037 | 2019-07-05 |
| 1679132690 | Demario Sharrod Lewis | Physical Therapist | 200 W Woodcroft Pkwy Apt 62b, Durham, NC 27713-8086 | 2019-06-12 |
| 1679032866 | David James Lawton | Physical Therapist | 101 E W T Harris Blvd Ste 5001, Charlotte, NC 28262-3574 | 2019-03-18 |
| 1497211643 | Mackenzie Gilliss | Physical Therapist | 703 N Us 29 Hwy, China Grove, NC 28023-2617 | 2019-02-13 |
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1730658253 | Smart Athlete Physiotherapy, LLC | Physical Therapist | 1017 E Whitaker Mill Rd, Raleigh, NC 27608-2757 | 2018-11-14 |
| 1366927659 | Judy Larose Foxworth | Physical Therapist | 601 S Mlk Jr Drive F L Atkins Bldg Rm 333, Winston Salem, NC 27110-0001 | 2018-10-02 |
| 1063905065 | Gabriela Perez | Physical Therapist | 5920 Sandy Forks Rd, Raleigh, NC 27609-3814 | 2018-06-13 |
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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.