ELYSIA SOPHIA SPENCER


Address: 4315 Diplomacy Dr, Anchorage, AK 99508-5926
Phone: 9077292700

ELYSIA SOPHIA SPENCER (NPI# 1861831273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861831273
Entity Type Individual
Full Name ELYSIA SOPHIA SPENCER
Credential MD
Practice Address 4315 Diplomacy Dr
Anchorage
AK 99508-5926
Mailing Address 336 Highland Dr
Juneau
AK 99801-1443
Practice Telephone 9077292700
Mailing Telephone 9199515085
Enumeration Date 2013-06-19
Last Update Date 2019-08-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208800000X Urology 201801258 NC Allopathic & Osteopathic Physicians
Y 208800000X Urology 147657 AK Allopathic & Osteopathic Physicians

Office Location

Street Address 4315 DIPLOMACY DR
City ANCHORAGE
State AK
Zip Code 99508-5926

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972509669 Steven James Denson Chiropractor 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2005-06-27
1982202156 Christina Eldridge Pharmacist 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2020-10-11
1699393132 Southcentral Foundation Dentist 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2020-07-10
1699304725 Meghan Ballard Occupational Therapist 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2020-04-01
1922633650 Laura Cantrell Student in an Organized Health Care Education/Training Program 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2020-03-03
1609416064 Matthew Wade Nurse Anesthetist, Certified Registered 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2020-01-13
1407494677 Michael Bruce Preventive Medicine 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2019-12-18
1336787993 Korin Scott Occupational Therapist 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2019-12-13
1215578422 Andrew James Baker Registered Nurse 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2019-09-30
1861042749 Anthony Martin Physical Therapist 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2019-09-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063349 Alexandra L Davis Student in an Organized Health Care Education/Training Program 1202 E 36th Ave, Anchorage, AK 99508 2020-05-01
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1679120349 Kila Gilcart Speech-Language Pathologist 161 Klevin Street #103, Anchorage, AK 99508 2019-08-19
1326692963 Shannon Maillet Behavior Technician 1650 S Bragaw, Anchorage, AK 99508 2019-07-31
1427602044 Frank Harris Lawson Iv Behavior Technician 1650 S. Bragaw, Anchorage, AK 99508 2019-07-31
1104470723 Vivalesi Seforosa Nair Behavior Technician 1650 South Bragaw, Anchorage, AK 99508 2019-07-31
1043864267 The Cozy Chalet Assisted Living Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3707 Mt Blanc Circle, Anchorage, AK 99508 2019-07-25
1942861778 Christine Mary Hoover Registered Nurse Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 2019-06-24
1215594502 Ashley Ongtowasruk Case Manager/Care Coordinator 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 2019-05-22
1659937019 Rayne Johnson Behavior Technician 4000 San Ernesto Blvd, Anchorage, AK 99508 2019-05-11
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740897503 Far North Urology & Research PC Urology 2120 Sonstrom Dr, Anchorage, AK 99517-1018 2020-09-25
1649211194 Andre' S Godet Urology 3841 Piper St Ste T300, Anchorage, AK 99508-4624 2006-06-08
1124091939 Robert C Allen Jr. Urology 188 W Northern Lights Blvd, Suite 800, Anchorage, AK 99503-3902 2006-02-10
1336136936 Alaska Women's Health Services, Inc Urology 4115 Lake Otis Pkwy, Anchorage, AK 99508-5213 2005-09-29
1366860314 Bryan James Wilson Urology 4315 Diplomacy Dr, Anchorage, AK 99508 2014-04-06
1598921546 Benjamin Titus Montgomery Urology 3841 Piper St, Suite T300, Anchorage, AK 99508-4624 2008-07-30
1659533222 Mariam Imnadze Miller Urology 4315 Diplomacy Dr, Dept of Urology, Anchorage, AK 99508-5926 2008-06-25
1902067390 Joshua E Logan Urology 188 W Northern Lights Blvd Ste 800, Anchorage, AK 99503-3984 2008-06-19
1083890180 Alaska Womens Health PC Urology 3260 Providence Dr, Suite 322, Anchorage, AK 99508-4661 2008-01-18
1720262165 Kevin M Tomera Md Inc Urology 1200 Airport Heights Dr, Ste 210, Anchorage, AK 99508-2943 2007-12-20
Find all providers in ANCHORAGE

Competitor

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City ANCHORAGE
Zip Code 99508

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Dataset Information

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.

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