ERIC W SPENCER (NPI# 1790947265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790947265 |
| Entity Type | Individual |
| Full Name | ERIC W SPENCER |
| Practice Address |
4735 Ogletown Stanton Rd Medical Arts Pavilion 2, Ste 1115 Newark DE 19713-2072 |
| Practice Telephone | 3022921600 |
| Practice Fax Number | 3022928629 |
| Mailing Telephone | 3022921600 |
| Mailing Fax Number | 3022928629 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2017-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | G1-0001332 | DE | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
G1-0001332 | DE | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154753044 | Eric Christopher Spencer | Physical Therapist | 2615 Sw 22nd Ave, Apt.1, Miami, FL 33133-2366 | 2013-08-02 |
| 1518594761 | Eric Daxton Spencer | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-26 |
| 1558824243 | Eric Spencer | Case Manager/Care Coordinator | 2750 Sutterville Rd, Sacramento, CA 95820-1024 | 2019-04-09 |
| 1689105611 | Eric Spencer | Family Medicine | 12436 Gregg Manor Rd, Manor, TX 78653-4138 | 2017-03-22 |
| 1215225115 | Eric Lloyd Spencer | Physical Therapist | 1224 E Westview Ct, Spokane, WA 99218-3813 | 2011-07-13 |
| 1255504239 | Eric N. Spencer | Counselor | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2008-04-10 |
| 1568417574 | Eric A Spencer | Emergency Medicine | 1460 G St, Springfield, OR 97477-4112 | 2006-05-24 |
| 1245219856 | Eric M Spencer | Orthopaedic Surgery | 970 N Broadway, Suite 204, Yonkers, NY 10701-1309 | 2006-01-12 |
| Street Address |
4735 OGLETOWN STANTON RD MEDICAL ARTS PAVILION 2, STE 1115 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415651 | Susan L Chudzik | Nurse Practitioner | 4735 Ogletown Stanton Rd, Mapii Suite 2123, Newark, DE 19713-2072 | 2005-05-27 |
| 1487295721 | Michael Rajnherc | Nurse Anesthetist, Certified Registered | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2019-10-07 |
| 1679131221 | Kathryn Margaret Godfrey | Psychologist | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2019-05-30 |
| 1952827446 | Robert F. Onyango | Registered Nurse | 4735 Ogletown Stanton Rd, Map 2, Suite 1250, Newark, DE 19713-2076 | 2017-08-17 |
| 1225565070 | Steven James Larrimore | Nurse Practitioner | 4735 Ogletown Stanton Rd, Suite 3301, Newark, DE 19713-2072 | 2017-05-11 |
| 1861926032 | Heidi Huntington | Clinical Nurse Specialist | 4735 Ogletown Stanton Rd, Suite 3301, Newark, DE 19713-2072 | 2017-04-14 |
| 1336688662 | Alana Coppol Disabatino | Nurse Practitioner | 4735 Ogletown Stanton Rd, Suite 1250, Newark, DE 19713-2072 | 2017-02-20 |
| 1235678087 | Kimberly Wanner | Nurse Practitioner | 4735 Ogletown Stanton Rd, Medical Arts Pavilion 2, Suite 3301, Newark, DE 19713-2072 | 2017-02-13 |
| 1255878047 | Bioidentical Options, LLC | Specialist | 4735 Ogletown Stanton Rd, Medical Arts Pavilion II Suite 2310, Newark, DE 19713-2072 | 2017-01-31 |
| 1306396650 | Ali Kalamchi, Md | Orthopaedic Surgery | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2016-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548705197 | Petrunich Oral Surgery | Dentist | 2444 Pulaski Hwy # 100, Newark, DE 19702-3906 | 2017-01-05 |
| 1639523319 | William Shelton Jr. | Dentist | 202 Fairmount Ave, Newark, NJ 07103-2455 | 2016-04-19 |
| 1972948198 | Michael David D'amico | Dentist | 4735 Ogletown Stanton Rd Ste 1115, Newark, DE 19713-2089 | 2013-05-01 |
| 1114231123 | Albert Terrence Conlisk IIi | Dentist | 1976 Granville Rd, Newark, OH 43055-9799 | 2010-08-02 |
| 1114152766 | Oral & Maxillofacial Surgery Institute PC | Dentist | 50 Park Place, Ste # 1540, Newark, NJ 07102 | 2009-05-27 |
| 1598889438 | Samuel C Nwogu | Dentist | 200 Biddle Ave Ste 214, Newark, DE 19702-3966 | 2007-03-17 |
| 1932261138 | Ean James | Dentist | 639 Mount Prospect Ave, Newark, NJ 07104-3109 | 2006-12-14 |
| 1982625547 | David B. Ettinger | Dentist | 131 E Chestnut Hill Rd, Newark, DE 19713-4043 | 2006-07-21 |
| 1740235449 | Christiana Center for Oral & Maxillofacial Surgery, P.a. | Dentist | 4735 Stanton Ogletwn Rd, Map2, Ste. 1115, Newark, DE 19713-2072 | 2006-05-23 |
| 1659329530 | Richard David Seldin | Dentist | 50 Park Pl, Suite 1540, Newark, NJ 07102-4308 | 2006-05-04 |
| Find all providers in NEWARK | ||||
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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.