DR. SCOTT JASON SPENCER (NPI# 1679620306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679620306 |
| Entity Type | Individual |
| Full Name | DR. SCOTT JASON SPENCER |
| Credential | D.C. |
| Practice Address |
205 W Randolph St 1205 Chicago IL 60606-1867 |
| Practice Telephone | 3122656908 |
| Practice Fax Number | 3122640347 |
| Mailing Telephone | 3122656908 |
| Mailing Fax Number | 3122640347 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2013-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
038009369 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 01629928 | 01 |
| IL | AETNA | 7626403 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417155391 | Scott Simner Spencer | Pediatrics | 1510 Division St., Ste. 280, Oregon City, OR 97045 | 2007-07-03 |
| 1851870398 | Scott A Spencer | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-08-07 |
| 1861934317 | Scott G Spencer | Nurse Anesthetist, Certified Registered | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2016-11-15 |
| 1225426729 | Scott Spencer | Dentist | 10075 S Jog Rd Ste 108, Boynton Beach, FL 33437-3532 | 2015-01-06 |
| 1669502845 | Scott Stephen Spencer | Pharmacist | 206 N Main St, Brookfield, MO 64628-1644 | 2007-03-06 |
| 1104864388 | Scott Edward Spencer | Internal Medicine | 2700 E 29th St, 260, Bryan, TX 77802-2587 | 2006-06-02 |
| 1770589004 | Scott Alan Spencer | Podiatrist | 7000 Euclid Ave, Suite 101, Cleveland, OH 44103-4014 | 2005-06-22 |
| Street Address |
205 W RANDOLPH ST 1205 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60606-1867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679632921 | Illinois Bone and Joint Institute,llc | Orthopaedic Surgery | 205 W Randolph St, Fl 7, Chicago, IL 60606-1867 | 2006-12-06 |
| 1134514524 | Kiela Bolden | Psychologist | 205 W Randolph St, Ste 830, Chicago, IL 60606-1867 | 2015-04-02 |
| 1144564089 | Jeremy Leimback Dc PC | Chiropractor | 205 W Randolph St, 1205, Chicago, IL 60606-1867 | 2012-11-15 |
| 1740500768 | Stanley John Peplinski | Chiropractor | 205 W Randolph St, 2010, Chicago, IL 60606-1867 | 2010-06-02 |
| 1578793287 | Jeremy Leimback | Chiropractor | 205 W Randolph St, 2010, Chicago, IL 60606-1867 | 2009-07-16 |
| 1114168580 | Alan Richard Goldman | Dentist | 205 W Randolph St, Suite 1800, Chicago, IL 60606-1867 | 2009-03-16 |
| 1881847929 | Community Health Partnership of Illinois | Clinic/Center | 205 W Randolph St, Suite 2222, Chicago, IL 60606-1867 | 2008-11-03 |
| 1578748034 | Physicians Plus Berwyn Ltd. | Chiropractor | 205 W Randolph St, 1205, Chicago, IL 60606-1867 | 2008-01-03 |
| 1851441984 | Constance Fullilove, Ph.d., Ltd. | Psychologist | 205 W Randolph St, Suite 830, Chicago, IL 60606-1867 | 2007-01-11 |
| 1215097407 | Kerry E. Voit | Dentist | 205 W Randolph St, Suite 1800, Chicago, IL 60606-1867 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286462 | James Topolski | Counselor | 150 S Wacker Driver, Ste 2400, Chicago, IL 60606 | 2020-05-13 |
| 1124500046 | R.c. & Associates LLC | Marriage & Family Therapist | 150 South Wacker Drive, #2400, Chicago, IL 60606 | 2018-09-06 |
| 1720581101 | Arch Angel Services | Counselor | 10 S. Riverside Plaza, Suite 875, Chicago, IL 60606 | 2018-03-13 |
| 1316453178 | Johanna Richter Nutrition & Wellness LLC | Dietitian, Registered | 211 W Wacker Dr Ste 230, Chicago, IL 60606 | 2017-12-15 |
| 1215466792 | Kelly Albers | Physical Therapist | 125 South Wacker Drive, 475, Chicago, IL 60606 | 2017-06-08 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1255880555 | Katie Marie Edwards-humpal | Nurse Practitioner | 225 W Washington 2floor, Chicago, IL 60606 | 2016-09-27 |
| 1922454255 | Revolution Physical Therapy Weight Loss | Clinic/Center | 205 N. Wells St., Chicago, IL 60606 | 2016-05-05 |
| 1558725101 | Robin Weber | Physical Therapy Assistant | 205 N. Wells Street, Chicago, IL 60606 | 2016-04-11 |
| 1427439041 | Kathleen Habschmidt | Physical Therapist | 1020 W Wacker Dr, Suite 205, Chicago, IL 60606 | 2015-06-10 |
| Find all providers in zip 60606 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972975464 | Loop Spine & Sports Center, Ltd. | Chiropractor | 30 N Michigan Ave Ste 605, Chicago, IL 60602-3806 | 2015-10-23 |
| 1437539400 | Loop Chiropractic & Sports Injury Center | Chiropractor | 19 S La Salle St, Suite 503, Chicago, IL 60603-1401 | 2015-06-04 |
| 1992982664 | Jason W Ingham Dc Sc | Chiropractor | 4552 N Magnolia Ave, Chicago, IL 60640-5513 | 2008-01-24 |
| 1215058847 | Donald Vincent Bryant | Chiropractor | 500 N Michigan Ave Ste 300, Chicago, IL 60611-3775 | 2007-04-02 |
| 1659402055 | Paul Allen Marando | Chiropractor | 1700 W Diversey Pkwy, Suite 2w, Chicago, IL 60614-1010 | 2007-03-08 |
| 1346377652 | The Sports Injury Center, Ltd. | Chiropractor | 2654 N Lincoln Ave, Chicago, IL 60614-1307 | 2007-02-27 |
| 1467508861 | Sam S Scott | Chiropractor | 2834 N Halsted St, Chicago, IL 60657-5151 | 2007-01-26 |
| 1538248596 | Atlas Chiropractic Health Center, Inc. | Chiropractor | 3178 N Broadway St, Chicago, IL 60657-4509 | 2006-11-02 |
| 1720185176 | Peter Georgiou | Chiropractor | 916 W Belmont Ave, Chicago, IL 60657-4427 | 2006-09-20 |
| 1093789216 | Alden Clendenin | Chiropractor | 16 N Peoria St, Chicago, IL 60607-2609 | 2006-02-14 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on DR. SCOTT JASON 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.