TODD A SPENCER, MD, PA


Address: 7777 Forest Ln, Suite C516, Dallas, TX 75230-2571
Phone: 9725667188

TODD A SPENCER, MD, PA (NPI# 1093947434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093947434
Entity Type Organization
Organization Name TODD A SPENCER, MD, PA
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 2009-08-19
Last Update Date 2020-07-02
Authorized Official Name TODD A SPENCER (PRESIDENT)
Authorized Official Telephone 9725667188
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name TODD A SPENCER,MD, PA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
L3839 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 0038TA 01
TX 157541702 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
11970 N Central Expy Ste 630, Dallas, TX 752433793 9725667188 9725662312

Office Location

Street Address 7777 FOREST LN
SUITE C516
City DALLAS
State TX
Zip Code 75230-2571

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City DALLAS
Zip Code 75230

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Dataset Information

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.

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