ANGELA S SPENCER (NPI# 1063476430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063476430 |
| Entity Type | Individual |
| Full Name | ANGELA S SPENCER |
| Credential | M.D. |
| Practice Address |
2100 N Wickham Rd Melbourne FL 32935 |
| Mailing Address |
2100 N Wickham Rd Melbourne FL 32935-8110 |
| Practice Telephone | 3217527100 |
| Practice Fax Number | 3217527105 |
| Mailing Telephone | 3217527100 |
| Mailing Fax Number | 3217527105 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2013-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME0093302 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 272830300 | 05 | |
| FL | RR MEDICARE | P00382941 | 01 |
| FL | BCBS | 16273 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194294942 | Angela Spencer | Dietitian, Registered | 2924 Emerywood Pkwy Ste 103, Richmond, VA 23294-3746 | 2018-11-21 |
| 1215324934 | Angela Spencer | Marriage & Family Therapist | 3054 29th Ave W, Seattle, WA 98199-2712 | 2015-04-21 |
| 1265468037 | Angela Michelle Spencer | Physical Therapist | 3030 100th St, Urbandale, IA 50322-3865 | 2006-06-24 |
| 1871157933 | Angela Spencer | Peer Specialist | 7 Westowne St Ste 403, Liberty, MO 64068-1166 | 2019-04-24 |
| 1699229914 | Angela Spencer | Speech-Language Pathologist | 1901a Mission 66, Vicksburg, MS 39180-3711 | 2016-08-04 |
| Street Address |
2100 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405126 | Marilyn Carol Moss | Family Medicine | 2100 N Wickham Rd, Melbourne, FL 32935-8110 | 2005-05-23 |
| 1861966020 | Stefan Thomas Hartmann | Clinical Nurse Specialist | 2100 N Wickham Rd, Melbourne, FL 32935-8110 | 2019-01-21 |
| 1215210273 | Urgent Doccs Inc | Clinic/Center | 2100 N Wickham Rd, Melbourne, FL 32935 | 2011-09-26 |
| 1669648754 | Dale Phillip Greyslak | Physician Assistant | 2100 N Wickham Rd, Melbourne, FL 32935-8110 | 2008-05-08 |
| 1326140716 | Diagnostic and Clinical Care Services Inc | Specialist | 2100 N Wickham Rd, Suite 1, Melbourne, FL 32935-2300 | 2006-09-05 |
| 1609860626 | Sangita Sahay | Internal Medicine | 2100 N Wickham Rd, Melbourne, FL 32935-2300 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457481418 | Scott L Gold Md LLC | Psychiatry & Neurology | 1535 W Nasa Blvd, Suite A, Melbourne, FL 32901 | 2007-03-07 |
| 1154354561 | Ronald Albert Turck Jr. | Psychiatry & Neurology | 21 Suntree Pl Ste 101, Melbourne, FL 32940-7600 | 2006-07-09 |
| 1841248887 | Diana I Skirk | Psychiatry & Neurology | 2571w Eau Gallie Blvd, Suite 4, Melbourne, FL 32935-8302 | 2006-05-04 |
| 1730155961 | Richard Mahlon Unger Jr. | Psychiatry & Neurology | 116 Silver Palm Ave, Melbourne, FL 32901-3172 | 2006-02-27 |
| 1609866136 | Bhuvaneswari K Dandapani | Psychiatry & Neurology | 1223 Gateway Dr # 2g, Melbourne, FL 32901-2607 | 2005-10-26 |
| 1154311652 | Timothy D Carter | Psychiatry & Neurology | 1223 Gateway Dr Ste 2g, Melbourne, FL 32901-2607 | 2005-10-26 |
| 1649266982 | Maya Stamboliyska | Psychiatry & Neurology | 6105 N Wickham Rd, 411682, Melbourne, FL 32941-7001 | 2005-09-22 |
| 1831199850 | Richard Paul Newman | Psychiatry & Neurology | 709 S. Harbor City Blvd., Suite 100, Melbourne, FL 32901-1936 | 2005-08-01 |
| 1811448954 | Brevard Regional Hyperbaric Center | Psychiatry & Neurology | 1698 W Hibiscus Blvd, Suite B, Melbourne, FL 32901 | 2016-10-24 |
| 1154709384 | Tiffany H Green | Psychiatry & Neurology | 1350 Hickory St, Melbourne, FL 32901-3224 | 2015-05-07 |
| Find all providers in MELBOURNE | ||||
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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.