JACK CHRISTOPHER SPENCER


Address: 181 Calhoun St, Charleston, SC 29424
Phone: 8439535520

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
SC 221637 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
181 Calhoun St, Charleston, SC 29424 8439535520

Other Providers JACK SPENCER

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

Office Location

Street Address 181 CALHOUN ST
City CHARLESTON
State SC
Zip Code 29424

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Competitor

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City CHARLESTON
Zip Code 29424

Improve Information

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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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