CHARLES SPENCER III (NPI# 1760896799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760896799 |
| Entity Type | Individual |
| Full Name | CHARLES SPENCER III |
| Credential | ATC, EMT |
| Practice Address |
125 Burnham Rd Scarborough ME 04074-9156 |
| Practice Telephone | 2077303002 |
| Mailing Telephone | 2077303002 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT520 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790973634 | Charles D Spencer | Internal Medicine | 409 Middlefield Road, Hinsdale, MA 01235 | 2007-10-04 |
| 1801838941 | Charles Ervin Spencer | Pharmacist | 203 W Marion St, Kershaw, SC 29067-1412 | 2006-06-12 |
| 1336750207 | Charles W Spencer | Hearing Instrument Specialist | 1155 S Power Rd Ste 109, Mesa, AZ 85206-3716 | 2020-08-13 |
| 1477844041 | Charles Thomas Spencer IIi | Emergency Medicine | 2301 Holmes St, Kansas City, MO 64108-2640 | 2011-04-29 |
| 1184938482 | Charles Spencer | Physical Therapist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2010-07-29 |
| 1972816817 | Charles Frederec Spencer | Chiropractor | 818 E Clark Blvd, Murfreesboro, TN 37130-2324 | 2010-07-20 |
| 1548310592 | Charles H Spencer | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-01-11 |
| 1578626578 | Charles N Spencer Jr. | Pediatrics | 648 Hartsville Pike, Gallatin, TN 37066-2523 | 2006-12-19 |
| 1144263450 | Charles L Spencer | Internal Medicine | 3615 Chestnut St, Ralston Penn Center, Philadelphia, PA 19104 | 2006-06-14 |
| Street Address |
125 BURNHAM RD |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-9156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295292282 | Joseph E Davis Jr. | Specialist/Technologist | 11 Municipal Dr, Scarborough, ME 04074-8263 | 2019-02-26 |
| 1437698701 | Jack Adams | Specialist/Technologist | 13 Spruce Cir, Scarborough, ME 04074-9018 | 2017-02-19 |
| 1932144979 | Andrea B. Pettit | Specialist/Technologist | 67 Hearn Rd, Scarborough, ME 04074-9135 | 2006-06-16 |
| 1245274372 | Jodi R Mitchell | Specialist/Technologist | 49 Spring St, Scarborough, ME 04074-8926 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958581 | Teresa Drag | Specialist/Technologist | 512 Paris Hill Rd, Paris, ME 04271 | 2020-10-01 |
| 1639784531 | Debra Lynn Gunn | Specialist/Technologist | 50 Church Rd, Holden, ME 04429-7152 | 2020-09-09 |
| 1639782550 | Madeleine Vivian Reid | Specialist/Technologist | 204 Maine Ave, Portland, ME 04103-3906 | 2020-08-29 |
| 1598377962 | Barbara Anne Cookson | Specialist/Technologist | 167 Wilson St, Brewer, ME 04412-2025 | 2020-08-18 |
| 1811533730 | Brianna Leslie Genthner | Specialist/Technologist | 389 Egypt Rd, Damariscotta, ME 04543-4306 | 2019-11-26 |
| 1376185785 | Mount Desert Island Ymca | Specialist/Technologist | 21 Park Street, Bar Harbor, ME 04609 | 2019-10-17 |
| 1043852981 | Diane Patricia Stone | Specialist/Technologist | 62 Turner St, Auburn, ME 04210-5953 | 2019-10-11 |
| 1326697145 | Karen Elizabeth Rendall | Specialist/Technologist | 120 Leach Hill Rd, Casco, ME 04015-3237 | 2019-09-04 |
| 1659929537 | Bronte Annette Fontaine | Specialist/Technologist | 7 Bickford Ave, Brunswick, ME 04011-3125 | 2019-09-03 |
| 1144889403 | Evan Mark Paradis | Specialist/Technologist | 100 Middle St Apt 1, Old Town, ME 04468-1480 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
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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.