SPENCER WALTER GALE (NPI# 1780969360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780969360 |
| Entity Type | Individual |
| Full Name | SPENCER WALTER GALE |
| Credential | PA-C |
| Practice Address |
400 Matthew St Suite 401 Marietta OH 45750-1644 |
| Mailing Address |
Po Box 449 Marietta OH 45750-0449 |
| Practice Telephone | 7403742252 |
| Practice Fax Number | 7403744974 |
| Mailing Telephone | 7403744500 |
| Mailing Fax Number | 7403745887 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2017-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.003955 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
01750 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5052 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | RAILROAD MEDICARE - MHCPI | P01515012 | 01 |
| OH | 0091459 | 05 |
| Street Address |
400 MATTHEW ST SUITE 401 |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639641 | Joseph R Mayo | Internal Medicine | 400 Matthew St, Ste 302, Marietta, OH 45750-1644 | 2005-06-14 |
| 1164970919 | Jessica Starling | Nurse Practitioner | 400 Matthew St, Suite 401, Marietta, OH 45750-1644 | 2016-09-21 |
| 1073984829 | Kristeva Jo Knab | Physician Assistant | 400 Matthew St, Suite 401, Marietta, OH 45750-1644 | 2015-10-19 |
| 1033588405 | Alyse Shapaka | Physician Assistant | 400 Matthew St, Suite 200, Marietta, OH 45750-1644 | 2015-09-16 |
| 1982072054 | Chandler Leann Myers | Nurse Practitioner | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750 | 2015-09-08 |
| 1487021200 | Brian P. Peppel | Physician Assistant | 400 Matthew St, Suite 200, Marietta, OH 45750-1644 | 2015-08-27 |
| 1548676778 | Jenny M Daubert | Physician Assistant | 400 Matthew St, Suite 303, Marietta, OH 45750-1644 | 2014-07-09 |
| 1568895993 | Amy L Albrecht | Physician Assistant | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750-1644 | 2013-08-21 |
| 1609145242 | Lakyn Allison Merrifield | Physician Assistant | 400 Matthew St, Suite 302, Marietta, OH 45750-1644 | 2011-12-28 |
| 1578848941 | Cathy J. Lee | Nurse Practitioner | 400 Matthew St, Suite 305, Marietta, OH 45750-1644 | 2011-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1447727094 | Klara Lisy | Physician Assistant | 711 Canton Road, Suite 300, Marietta, GA 30060 | 2018-10-31 |
| 1770021958 | Sarah Miller | Physician Assistant | 2550 Windy Hill Rd Se Ste 200, Marietta, GA 30067-8654 | 2017-02-07 |
| 1972925709 | Jawauna Smith | Physician Assistant | 4343 Shallowford Rd Ste B4a, Marietta, GA 30062-5003 | 2014-01-14 |
| 1841611852 | Emily Hannah Johnson | Physician Assistant | 61 Whitcher St Ste 2100, Marietta, GA 30060 | 2013-12-17 |
| 1225464738 | Ashley D Lockhart | Physician Assistant | 400 Matthew St Ste 200, Marietta, OH 45750-1633 | 2013-09-17 |
| 1568593788 | Felicity A Devaughn | Physician Assistant | 790 Church St Ne Ste 510, Marietta, GA 30060-8957 | 2007-03-08 |
| 1346359585 | Alice Fair Franklin | Physician Assistant | 835 Cogburn Ave Nw Ste 100, Marietta, GA 30060-1008 | 2006-08-30 |
| 1013567452 | Megan Nichole Dalton | Physician Assistant | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2019-09-18 |
| 1356900757 | Megan Marie Johnson | Physician Assistant | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2019-06-10 |
| Find all providers in MARIETTA | ||||
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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.