MARTHA L. SPENCER (NPI# 1750368247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750368247 |
| Entity Type | Individual |
| Full Name | MARTHA L. SPENCER |
| Credential | MD |
| Practice Address |
3800 Park Nicolett Blvd. Pediatric Endocrinology St. Louis Park MN 55416-2699 |
| Mailing Address |
3800 Park Nicolett Blvd. St. Louis Park MN 55416-2699 |
| Practice Telephone | 9529933900 |
| Practice Fax Number | 9529931761 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2009-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
27422 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
3800 PARK NICOLETT BLVD. PEDIATRIC ENDOCRINOLOGY |
| City | ST. LOUIS PARK |
| State | MN |
| Zip Code | 55416-2699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515274 | Mary Jennifer Abuzzahab | Pediatrics | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2005-08-16 |
| 1255323358 | Krishna M Saxena | Pediatrics | Children's Specialty Clinic-diabetes/endocrinology-stpl, 347 North Smith Avenue, St Paul, MN 55102 | 2005-08-16 |
| 1023540473 | Sarah Jackson | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-04-03 |
| 1831518828 | Luong Doan | Pediatrics | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2014-04-07 |
| 1265788574 | Anoop Mohamed Iqbal | Pediatrics | 200 1st St Sw, 55905-, Rochester, MN 55905-0001 | 2012-07-24 |
| 1043574569 | Kannan Kasturi | Pediatrics | 400 E 3rd St, Duluth, MN 55805 | 2012-06-28 |
| 1821380007 | Megan Marie Oberle | Pediatrics | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2011-05-06 |
| 1316247323 | Melinda June Rogers Ross Pierce | Pediatrics | 2530 Chicago Ave, Minneapolis, MN 55404-4289 | 2010-10-25 |
| 1578880746 | Eric Morris Bomberg | Pediatrics | 2512 S 7th St, Minneapolis, MN 55454 | 2010-04-28 |
| 1124295761 | Zarlasht Amini | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2008-05-13 |
| Find all providers with the same taxonomy | ||||
| City | ST. LOUIS PARK |
| Zip Code | 55416 |
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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.