JACK CHRISTOPHER SPENCER (NPI# 1255398350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255398350 |
Entity Type | Individual |
Full Name | JACK CHRISTOPHER SPENCER |
Credential | MD |
Practice Address |
181 Calhoun St Charleston SC 29424 |
Mailing Address |
181 Calhoun St Charleston SC 29424-0001 |
Practice Telephone | 8439535520 |
Mailing Telephone | 8439535520 |
Enumeration Date | 2006-05-01 |
Last Update Date | 2018-10-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 22163 | SC | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | MD22163 | SC | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | 22163 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 221637 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
181 Calhoun St, Charleston, SC 29424 | 8439535520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164506259 | Jack David Spencer | Dentist | 411 Mcmurray Road, Suite 101, Bethel Park, PA 15102-1164 | 2006-10-25 |
1912384983 | Jack W Spencer | Counselor | 1025 Memorial Dr, Oakland, MD 21550-4343 | 2015-04-29 |
Street Address |
181 CALHOUN ST |
City | CHARLESTON |
State | SC |
Zip Code | 29424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881027316 | Elizabeth Mcgee Klixbull | Nurse Practitioner | 181 Calhoun St, Charleston, SC 29424-3519 | 2013-08-20 |
1306123963 | Julie Lorraine Eriksson | Nurse Practitioner | 181 Calhoun St, Charleston, SC 29424-3519 | 2011-11-10 |
1518118108 | Bridget Mary Mclernon Sykes | Nurse Practitioner | 181 Calhoun St, Charleston, SC 29424-3519 | 2008-10-01 |
1255493789 | Katherine Harris Young | Nurse Practitioner | 181 Calhoun St, Charleston, SC 29424-3519 | 2006-12-14 |
1346350329 | Mercedes D Papaharis | Nurse Practitioner | 181 Calhoun St, Charleston, SC 29424-5728 | 2006-08-30 |
1124136080 | Patricia Lee Hutchison | Pediatrics | 181 Calhoun St, Charleston, SC 29424-0001 | 2006-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275726754 | Amanda Washburn Forbus | Nurse Practitioner | 181 Calhoun St., College of Charleston Student Heatlh, Charleston, SC 29424 | 2007-08-20 |
1235227810 | Kristin Lorraine Hartley | Nurse Practitioner | 181 Calhoun Street, Charleston, SC 29424 | 2006-10-10 |
1487196978 | Susan Rozzi | Specialist/Technologist | Dept of Health and Human Performance, College of Charleston, Charleston, SC 29424-0001 | 2016-11-15 |
1568955508 | Sara Steckman | Specialist/Technologist | 66 George St, Charleston, SC 29424-0001 | 2018-06-13 |
1902303852 | John Ashton Durant | Dentist | 29 Bee Street, Charleston, SC 29424-0001 | 2018-04-08 |
1922459874 | Christopher Horschel | Specialist/Technologist | 301 Meeting St, Charleston, SC 29424-0001 | 2016-06-22 |
1013382407 | Michelle Cooper | Specialist/Technologist | 66 George St, Charleston, SC 29424-0001 | 2015-12-10 |
1982011466 | Amanda Renee Taylor | Specialist/Technologist | 66 George St, Sports Medicine, Charleston, SC 29424-0001 | 2014-07-17 |
1629480132 | Sergey Gukasov | Anesthesiology | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29424-0001 | 2014-06-02 |
1003136300 | Karen D Doll | Nurse Practitioner | Medical University of South Carolina, 114 Doughty Street Suite 654, Charleston, SC 29424-0001 | 2010-06-09 |
Find all providers in zip 29424 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1144747528 | Susan L Cavender M.d. Pllc | General Practice | 1115 Lee St E, Charleston, WV 25301-2412 | 2017-08-25 |
1376958058 | Nadezda Samples | General Practice | 3110 Maccorkle Ave Se Rm 58, Charleston, WV 25304-1210 | 2014-06-21 |
1144663881 | Joseph William Rubin | General Practice | 22 River Reach Way, Charleston, SC 29407-3372 | 2013-04-11 |
1013256023 | Doctors Care Sc, Pa | General Practice | 1014 Saint Andrews Blvd, Charleston, SC 29407-7139 | 2013-02-11 |
1295030674 | Capital Management Services Company | General Practice | 231 Capitol St, Suite 301, Charleston, WV 25301-2200 | 2011-01-17 |
1013212497 | Capitol United Support Inc | General Practice | 415 Quarrier St, Suite 213, Charleston, WV 25301-2009 | 2011-01-17 |
1336456722 | Rebecca Thaxton | General Practice | 120 Cornwall Ln, Charleston, WV 25314-2493 | 2010-09-07 |
1841501210 | Audiahealth, LLC | General Practice | 192 Tradd St, Charleston, SC 29401-1817 | 2010-06-30 |
1013150093 | Richard David Lindsay | General Practice | 1223 Virginia St E, Charleston, WV 25301-2908 | 2009-04-07 |
1851563753 | Frederick Morton Cooley | General Practice | 904 Chappell Rd, Charleston, WV 25304-2708 | 2008-03-31 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 29424 |
Please comment or provide details below to improve the information on JACK CHRISTOPHER SPENCER.
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.