Spencer Lewis Mortensen (NPI# 1568716744, PAC ID# 4486964962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1568716744 |
| PAC ID by PECOS | 4486964962 |
| Professional Enrollment ID | I20180309001976 |
| Full Name | Spencer Lewis Mortensen |
| Organization Legal Name | BAPTIST HEALTH SERVICES |
| Address |
1500 Dodson Ave Suite 260 Fort Smith AR 72901-5179 |
| Phone Number | 4795737905 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 0648514133 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040055 | SPARKS REGIONAL MEDICAL CENTER |
| 040018 | SPARKS MEDICAL CENTER VAN BUREN |
| Address | Phone | Organization |
|---|---|---|
| 1500 Dodson Ave, Suite 260, Fort Smith, AR 72901-5179 | 4795737905 | BAPTIST HEALTH SERVICES |
| Organization Legal Name | BAPTIST HEALTH SERVICES |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nata T Matthews | Nurse Practitioner | Baptist Health Services | 6100 Massard Rd, Fort Smith, AR 72916-8886 |
| Daniel Christopher Schroyer | Radiation Oncology | Baptist Health Services | 1502 Dodson Ave, Fort Smith, AR 72901-5128 |
| Haritha Machavarapu | Internal Medicine | Baptist Health Services | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Linda Blasingame | Nurse Practitioner | Baptist Health Services | 209 Pointer Trl W A, Baptist Health Family and Pediatric, Van Buren, AR 72956-2238 |
| Kyle B Basham | General Surgery | Baptist Health Services | 5500 Ellsworth Rd, Baptist Health Urology Clinic Fort, Fort Smith, AR 72903-3222 |
| Thanh Le | Family Medicine | Baptist Health Services | 937 Hwy 64 E, Baptist Health Family Clinic Alma, Alma, AR 72921-7382 |
| Monique Thammavong | Nurse Practitioner | Baptist Health Services | 14 Gothic Ridge Rd, Suite B, Van Buren, AR 72956-6565 |
| Charles Moussallem | Nephrology | Baptist Health Services | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 |
| David Miller | Thoracic Surgery | Baptist Health Services | 600 Lexington Ave, Fort Smith, AR 72901-4737 |
| Gary Highfill | Otolaryngology | Baptist Health Services | 520 Towson Ave, Suite A, Fort Smith, AR 72901-4624 |
| Street Address |
1500 DODSON AVE SUITE 260 |
| City | FORT SMITH |
| State | AR |
| Zip | 72901-5179 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Moussallem | Nephrology | Baptist Health Services | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 |
| Robert Parris | Cardiovascular Disease (cardiology) | Baptist Health Services | 1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182 |
| Brandi E Guthrey | Family Medicine | Baptist Health Services | 1500 Dodson Ave, Suite 195, Fort Smith, AR 72901-5178 |
| Abdul-nasser Adjei | Cardiovascular Disease (cardiology) | Baptist Health Services | 1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182 |
| Kenneth Tonymon | Neurosurgery | Baptist Health Services | 1500 Dodson Ave, Suite 290, Fort Smith, AR 72901-5182 |
| Matthew Patton | Physician Assistant | The Dermatology Center Pllc | 1500 Dodson Ave, Suite 270, Fort Smith, AR 72901-5179 |
| German G Kamalov | Internal Medicine | Baptist Health Services | 1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182 |
| James Bruton | Nephrology | Baptist Health Services | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 |
| Lisa Coker | Nurse Practitioner | Baptist Health Services | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 |
| Mark Fowler | Obstetrics/gynecology | Baptist Health Services | 1500 Dodson Ave, Suite 230, Fort Smith, AR 72901-5179 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen D Chiovoloni | Clinical Social Worker | 1320 N B St, Suite 100, Fort Smith, AR 72901-3210 | |
| Jerrica J Thomas | Physical Therapy | 318 N Greenwood Ave, Fort Smith, AR 72901-3454 | |
| Charles K Wright | Family Medicine | 1623 Rogers Ave, Fort Smith, AR 72901-3826 | |
| Ngoc Van Hoang | General Practice | 1623 Rogers Ave, Fort Smith, AR 72901-3826 | |
| Bryan Holland Clardy | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| John C Lane | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Katherine A Irish Clardy | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Elizmary C Cyril | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Edward L Gills | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Lawrence C Price | Internal Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Find all physicians in zip 72901 | |||
| City | FORT SMITH |
| Zip Code | 72901 |
| Specialty | PODIATRY |
| City + Specialty | FORT SMITH + PODIATRY |
Please comment or provide details below to improve the information on Spencer Lewis Mortensen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.