DR. HERBERT RANDOLPH SPENCER (NPI# 1043308356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043308356 |
Entity Type | Individual |
Full Name | DR. HERBERT RANDOLPH SPENCER |
Credential | M.D. |
Practice Address |
1800 Colonial Drive Columbia SC 29201 |
Mailing Address |
Po Box 461 White Rock SC 29177-0461 |
Practice Telephone | 8038982284 |
Practice Fax Number | 8038981596 |
Mailing Telephone | 8033453698 |
Enumeration Date | 2006-10-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
06323 | SC | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053441469 | Herbert L. Spencer | Psychologist | 2300 Mckown Dr, Norman, OK 73072-6678 | 2007-03-06 |
Street Address |
1800 COLONIAL DRIVE |
City | COLUMBIA |
State | SC |
Zip Code | 29201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
Find all providers in zip 29201 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043832157 | Envision Wellness Medical Group LLC | Psychiatry & Neurology | 4100 N Main St Ste 101, Columbia, SC 29203-5800 | 2020-05-12 |
1548664964 | Melody Ann Boling | Psychiatry & Neurology | 1 Hospital Dr # Dc067.00, Department of Psychiatry, Columbia, MO 65212-1000 | 2014-10-14 |
1548502362 | Dina Marie Sztein | Psychiatry & Neurology | 9841 Broken Land Pkwy Ste 211, Columbia, MD 21046 | 2013-03-19 |
1568736247 | David Downie Iv, M.d.,p.a. | Psychiatry & Neurology | 1327 Richland Street, Columbia, SC 29201 | 2012-02-28 |
1447522800 | Life Strategies LLC | Psychiatry & Neurology | 2855 Pruitt Dr, Columbia, SC 29204-3645 | 2012-02-01 |
1699938217 | Anita Bajaj | Psychiatry & Neurology | 10015 Old Columbia Rd # L26d, Columbia, MD 21046-1703 | 2008-07-03 |
1306024930 | Kimberly C Walker | Psychiatry & Neurology | 10630 Little Patuxent Pkwy Ste 313, Columbia, MD 21044-6216 | 2008-02-06 |
1891883005 | Elizabeth Hubbard Jeffords | Psychiatry & Neurology | 3612 Landmark Dr Ste B, Columbia, SC 29204-4039 | 2006-10-11 |
1134231723 | Judith Victoria Ovalle Abuabara | Psychiatry & Neurology | 106 Corporate Lake Dr, Columbia, MO 65203-7170 | 2006-08-31 |
1316989304 | Mark A Riddle | Psychiatry & Neurology | 5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 | 2006-06-12 |
Find all providers in COLUMBIA |
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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.