John R Spencer (NPI# 1598720575, PAC ID# 5890824056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1598720575 |
| PAC ID by PECOS | 5890824056 |
| Professional Enrollment ID | I20100526000425 |
| Full Name | John R Spencer |
| Organization Legal Name | THEDACARE INCORPORATED |
| Address |
2500 E Capital Dr Appleton WI 54911-8735 |
| Gender | M |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1759294887 |
| Number of Group Practice Members | 478 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520045 | THEDA CLARK MEDICAL CENTER |
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| Address | Phone | Organization |
|---|---|---|
| 2500 E Capital Dr, Appleton, WI 54911-8735 | THEDACARE INCORPORATED | |
| 2005 Midway Rd, Menasha, WI 54952-7002 | 9208328500 | THEDACARE INCORPORATED |
| 130 2nd St, Neenah, WI 54956-2883 | THEDACARE INCORPORATED | |
| 1405 Mill St, New London, WI 54961-2155 | THEDACARE INCORPORATED | |
| 1405 S Mill St, New London, WI 54961-2155 | 9208315050 | THEDACARE INCORPORATED |
| Organization Legal Name | THEDACARE INCORPORATED |
| Physicians | 485 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew J Kubisch | Physician Assistant | Thedacare Incorporated | 1405 Mill St, New London, WI 54961-2155 |
| Anna L King | Physician Assistant | Thedacare Incorporated | 1818 N Meade St Room, N255, Appleton, WI 54911-3454 |
| Roger B Collins | Orthopedic Surgery | Thedacare Incorporated | 130 2nd St, Neenah, WI 54956-2883 |
| Jennifer E Szmanda | Pediatric Medicine | Thedacare Incorporated | 640 Deerwood Ave, Neenah, WI 54956-7110 |
| Elizabeth A Barthel | Nurse Practitioner | Thedacare Incorporated | 2500 E Capitol Dr, Fl 2, Appleton, WI 54911-8735 |
| Carmen L Miller | Nurse Practitioner | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Kathleen M Erdahl | Nurse Practitioner | Thedacare Incorporated | 1000 W Northland Ave, Appleton, WI 54914-1419 |
| Jennifer L Kohnke | Nurse Practitioner | Thedacare Incorporated | 670 Country Rd A, Green Lake, WI 54941-8608 |
| Taylor B Doberstein | Rheumatology | Thedacare Incorporated | 200 Theda Clark Medical Plaza, Suite 350, Neenah, WI 54956-2790 |
| Rachel A Savage | Nurse Practitioner | Thedacare Incorporated | 400 S Maple St, Black Creek, WI 54106-9787 |
| Street Address |
2500 E CAPITAL DR |
| City | APPLETON |
| State | WI |
| Zip | 54911-8735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose C Mendez | Cardiovascular Disease (cardiology) | Thedacare Incorporated | 2500 E Capital Dr, Appleton, WI 54911-8735 |
| Richard Francis Warren | Hematology/oncology | Thedacare Incorporated | 2500 E Capital Dr, Appleton, WI 54911-8735 |
| Natasha C Edwin | Hematology/oncology | Thedacare Incorporated | 2500 E Capital Dr, Appleton, WI 54911-8735 |
| Pang Nya Yang | Nurse Practitioner | Thedacare Incorporated | 2500 E Capital Dr, Appleton, WI 54911-8735 |
| Kelli K Heindel | Family Medicine | Thedacare Incorporated | 2500 E Capital Dr, Appleton, WI 54911-8735 |
| Melissa Villanueva Garcia | Family Medicine | Thedacare Incorporated | 2500 E Capital Dr, Appleton, WI 54911-8735 |
| Thong P Thor | Physician Assistant | Thedacare Incorporated | 2500 E Capital Dr, Appleton, WI 54911-8735 |
| Gina R Rekers | Nurse Practitioner | Thedacare Incorporated | 2500 E Capital Dr, Appleton, WI 54911-8735 |
| Amanda Anne Kossak | Family Medicine | Thedacare Incorporated | 2500 E Capital Dr, Appleton, WI 54911-8735 |
| Ashley A Rodrian | Nurse Practitioner | Thedacare Incorporated | 2500 E Capital Dr, Appleton, WI 54911-8735 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia F Susedik | Emergency Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Kenneth A Geller | Cardiovascular Disease (cardiology) | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richmond St, Appleton, WI 54911-1063 |
| Christopher W Wagener | Obstetrics/gynecology | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Lance A Grammont | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Nicole Gutman | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Charles M Miller | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Gunmeet K Kaleka | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Kathryn M Meyer | Obstetrics/gynecology | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| John T Siebers | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Wesley R Meyer | Optometry | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Find all physicians in zip 54911 | |||
| City | APPLETON |
| Zip Code | 54911 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | APPLETON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John R Spencer.
| 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.