DR. TODD A SPENCER (NPI# 1952343857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952343857 |
| Entity Type | Individual |
| Full Name | DR. TODD A SPENCER |
| Credential | M.D. |
| Practice Address |
7777 Forest Ln Suite C516 Dallas TX 75230-2571 |
| Mailing Address |
Po Box 269092 Oklahoma City OK 73126-9092 |
| Practice Telephone | 9725667188 |
| Practice Fax Number | 9725662312 |
| Mailing Telephone | 9725667188 |
| Mailing Fax Number | 9725662312 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
L3839 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8CS027 | 01 |
| TX | 157541702 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183535 | Todd Spencer | Behavior Technician | 1200 Concord Ave Ste 100, Concord, CA 94520-4969 | 2020-10-29 |
| 1124298500 | Todd Spencer | Counselor | 951 Niagara Street, Adolescent Outpatient Chemical Dependency Program, Buffalo, NY 14213 | 2008-03-03 |
| 1639102536 | Todd David Spencer | Specialist | 1250 E Almond Ave, Madera, CA 93637-5606 | 2006-07-07 |
| Street Address |
7777 FOREST LN SUITE C516 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546101 | Frederick J Duffy Jr. | Plastic Surgery | 7777 Forest Ln, Ste C504, Dallas, TX 75230 | 2005-05-24 |
| 1710586870 | Dessy Santika Adont | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-10-20 |
| 1003433913 | Kasey Rehme | Speech-Language Pathologist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-06-26 |
| 1083230015 | Abigail Anne Plec | Physician Assistant | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-06-25 |
| 1225650500 | Minh Nguyen | Pharmacist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-05-10 |
| 1578184297 | Hk Anesthesia Services Pllc | Anesthesiology | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-05-05 |
| 1225657018 | Kristina Marie George | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-04-11 |
| 1376176024 | Carla Patricia Jimenez Santillan | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-02-20 |
| 1508496795 | Kafayat Oritola | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-01-16 |
| 1699315630 | Rachel Kimberly Harris | Occupational Therapist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205488632 | Usa Vein Clinics of Dallas Pllc | Surgery | 3128 Forest Ln Ste 320, Dallas, TX 75234-7761 | 2019-07-16 |
| 1396189932 | Marc Salhanick | Surgery | 7777 Forest Ln Ste C516, Dallas, TX 75230-6846 | 2013-04-25 |
| 1891744629 | Muthiah Sankaran | Surgery | 10300 N Central Expy, Suite 205, Dallas, TX 75231-8600 | 2006-05-09 |
| 1790734457 | Vein Center for Excellence of Dallas | Surgery | 4222 Trinity Mills Rd, Suite 212, Dallas, TX 75287-7603 | 2006-05-09 |
| 1851350227 | Robert Warren Feldtman | Surgery | 221 W. Colorado Suite 625, Dfw Vascular LLP, Dallas, TX 75208 | 2006-03-22 |
| 1285145532 | Cla Physicians Group Inc | Surgery | 17950 Preston Rd Ste 120, Dallas, TX 75252 | 2017-10-13 |
| 1346668233 | Michael Cyrus Siah | Surgery | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2014-03-28 |
| 1558608174 | Gregory Norman Messner. | Surgery | 17950 Preston Rd, Suite 120, Dallas, TX 75252-5793 | 2013-01-16 |
| 1427314780 | Robert Steven Corn | Surgery | 621 N Hall St, Dallas, TX 75226-1339 | 2012-04-11 |
| 1639446891 | Charles A Iliya Md Pa | Surgery | 9330 Poppy Dr, Suite 500, Dallas, TX 75218-4612 | 2011-11-16 |
| Find all providers in DALLAS | ||||
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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.