DR. MARY J SPENCER (NPI# 1760566772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760566772 |
| Entity Type | Individual |
| Full Name | DR. MARY J SPENCER |
| Other Name | DR. MARY J DIFEDE |
| Credential | D.C. |
| Practice Address |
503 W 10th St Ne Rome GA 30165-2607 |
| Practice Telephone | 7062343031 |
| Practice Fax Number | 7062342046 |
| Mailing Telephone | 7062343031 |
| Mailing Fax Number | 7062342046 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR004814 | GA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 55001308A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073966735 | Mary Spencer | Nurse Practitioner | 8061 Springfield Rd, Glenn Dale, MD 20769-9605 | 2016-07-18 |
| 1770981771 | Mary Elizabeth Spencer | Specialist/Technologist | 5038 S Hardy Dr, Apt 2107, Tempe, AZ 85282-6626 | 2014-12-08 |
| 1619980497 | Mary Ellen Spencer | Counselor | 2220 Highway 35 N, Suite 240, Rockport, TX 78382-3312 | 2006-08-14 |
| 1497782619 | Mary Ann Spencer | Optometrist | 231 New Boston Rd, Fall River, MA 02720-5563 | 2006-06-26 |
| 1194721381 | Mary J Spencer | Pediatrics | 910 E Ohio Ave, Ste 103, Escondido, CA 92025-3439 | 2005-06-22 |
| 1376193441 | Mary Elizabeth Spencer | Acupuncturist | 386 Stanley St, Fall River, MA 02720-6009 | 2019-09-19 |
| 1013460807 | Mary Spencer | Occupational Therapist | 207 W Jackson St, Ridgeland, MS 39157-2355 | 2016-07-27 |
| 1184005407 | Mary K Spencer | Dietitian, Registered | 3800 Park Nicollet Blvd, Minneapolis, MN 55416-2527 | 2015-06-11 |
| 1598189110 | Mary Spencer | Nurse Anesthetist, Certified Registered | 1400 W Park St, Urbana, IL 61801 | 2014-02-18 |
| 1467703413 | Mary Spencer | Counselor | 912 W Mitchell St, Arlington, TX 76013-2537 | 2012-09-29 |
| Street Address |
503 W 10TH ST NE |
| City | ROME |
| State | GA |
| Zip Code | 30165-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366526261 | West 10th Street Chiropractic | Chiropractor | 503 W 10th St Ne, Rome, GA 30165-2607 | 2006-10-25 |
| 1871884734 | Tenuto Properties LLC | In Home Supportive Care | 503 W 10th St Ne, Rome, GA 30165-2607 | 2011-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316444094 | Nuccio Chiropractic Pllc | Chiropractor | 1617 N James St Ste 500, Rome, NY 13440-2851 | 2018-04-10 |
| 1598124174 | Nicholas Destito | Chiropractor | 143 North Washington St, Rome, NY 13440-3442 | 2016-02-11 |
| 1639509326 | Joint Spine& Disc Associates, LLC | Chiropractor | 304 E 2nd Ave, Rome, GA 30161-3222 | 2013-11-18 |
| 1205108834 | Proctor Keene Clinic | Chiropractor | 1101 Martha Berry Blvd Nw, Rome, GA 30165-1611 | 2012-01-27 |
| 1255659447 | Leslie A Tucker | Chiropractor | 2 Webster St Nw, Rome, GA 30165-2450 | 2010-05-12 |
| 1124272711 | Kondyles Chiropractic PC | Chiropractor | 1607b Martha Berry Blvd Nw, Rome, GA 30165-1621 | 2008-11-09 |
| 1619151644 | Russell Edwin Delaino | Chiropractor | 4 Shorter Ave Nw, Rome, GA 30165-2400 | 2007-12-27 |
| 1609070788 | Whitehall Medical Center | Chiropractor | 1011 N 5th Ave Ne, Rome, GA 30165-2601 | 2007-06-13 |
| 1861608242 | Dominick Nuccio | Chiropractor | 406 Turin St, Rome, NY 13440-3315 | 2007-05-15 |
| 1093939019 | Brooks Coville | Chiropractor | 1607 Martha Berry Blvd Nw, Suite B, Rome, GA 30165-1621 | 2007-04-12 |
| Find all providers in ROME | ||||
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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.