MARK D SPENCER (NPI# 1497719728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497719728 |
| Entity Type | Individual |
| Full Name | MARK D SPENCER |
| Credential | MD |
| Practice Address |
425 Idaho Street Gooding ID 83330 |
| Mailing Address |
Po Box 447 Gooding ID 83330 |
| Practice Telephone | 2089345900 |
| Practice Fax Number | 2089345719 |
| Mailing Telephone | 2089345900 |
| Mailing Fax Number | 2089345719 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M4484 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134285539 | Mark A Spencer | Chiropractor | 15850 New Ave, Lemont, IL 60439-3680 | 2006-12-29 |
| 1841385267 | Mark David Spencer | Optometrist | 4949 W.irving Pk. Rd., Suite E, Chicago, IL 60641-2655 | 2006-10-03 |
| 1366407181 | Mark Spencer | Family Medicine | 1608 Road 44, Pasco, WA 99301-2667 | 2006-04-18 |
| 1558354084 | Mark A Spencer | Chiropractor | 1335 Us Highway 68, Maysville, KY 41056-9132 | 2005-08-30 |
| 1033114517 | Mark K Spencer | Physician Assistant | 1247 Ne Medical Center Dr Ste C, Bend, OR 97701-3786 | 2005-06-20 |
| 1164059960 | Mark Spencer | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-03-24 |
| 1417594417 | Mark Spencer | Case Manager/Care Coordinator | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2019-12-09 |
| 1255837902 | Mark Spencer | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2018-04-02 |
| 1508818097 | Mark Spencer | Anesthesiology | 114 Woodland St, Hartford, CT 06105-1208 | 2006-05-16 |
| 1649256553 | Mark S Spencer | Nurse Anesthetist, Certified Registered | 4230 Harding Rd, Suite 435, Nashville, TN 37205-2013 | 2005-12-22 |
| Street Address |
425 IDAHO STREET |
| City | GOODING |
| State | ID |
| Zip Code | 83330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689001646 | Colby Estelle Vance | Physician Assistant | 425 Idaho Street, Gooding, ID 83330 | 2013-10-04 |
| 1699856344 | Stephen M Williams | Physician Assistant | 425 Idaho Street, Gooding, ID 83330 | 2006-10-18 |
| 1598720997 | Fred P Miller | Family Medicine | 425 Idaho Street, Gooding, ID 83330 | 2006-04-19 |
| 1700841277 | Robert H Anderson | Physician Assistant | 425 Idaho Street, Gooding, ID 83330 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346648227 | Erin Orloff | Speech-Language Pathologist | 202 14th St Ave E, Gooding, ID 83330 | 2014-12-09 |
| 1518377019 | North Canyon Medical Center, Inc. | Clinic/Center | 267 N. Canyon Drive, Gooding, ID 83330 | 2014-05-06 |
| 1083959332 | Lydia Jo Missal | Counselor | 1832 E. 1750 S., Gooding, ID 83330 | 2012-11-27 |
| 1013240910 | Marcella Louise Heil | Speech-Language Pathologist | 1735 South 1800 East, Gooding, ID 83330 | 2009-09-09 |
| 1861561094 | Thomas Ernest Pryor | Family Medicine | 121 5th Ave West, Gooding, ID 83330 | 2006-11-06 |
| 1942212600 | Marcy Lin Morrow | Physician Assistant | 134 4th Ave W, Gooding Family Physicians, Gooding, ID 83330 | 2006-08-12 |
| 1174535835 | Ian B Kunz | Physician Assistant | 267 N Canyon Drive, Gooding, ID 83330 | 2006-08-12 |
| 1326002650 | Associates In Family Practice Pa | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-04-13 |
| 1871115717 | Megan George | Counselor | 1832 E 1750 S, Gooding, ID 83330 | 2020-05-14 |
| 1982173746 | Tdc Gooding Pllc | Dentist | 325 Main Street, Gooding, ID 83330 | 2018-11-21 |
| Find all providers in zip 83330 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861561094 | Thomas Ernest Pryor | Family Medicine | 121 5th Ave West, Gooding, ID 83330 | 2006-11-06 |
| 1326002650 | Associates In Family Practice Pa | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-04-13 |
| 1285925602 | Jennifer Marie Olsen | Family Medicine | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2011-04-20 |
| 1396804415 | Gooding Family Physicians Pllc | Family Medicine | 134 4th Ave W, Gooding, ID 83330 | 2006-12-06 |
| 1144321753 | Reid Wayne Lofgran | Family Medicine | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2006-09-26 |
| 1023030848 | Associates In Family Practice Pa | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-07-24 |
| 1508899295 | Greg C Boettcher | Family Medicine | 267 N Canyon Dr, Gooding, ID 83330 | 2006-07-08 |
| 1598720997 | Fred P Miller | Family Medicine | 425 Idaho Street, Gooding, ID 83330 | 2006-04-19 |
| 1881659357 | Associates In Family Practice Pa | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-04-19 |
| 1598729824 | Florian John Gies | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-04-13 |
| Find all providers in GOODING | ||||
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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.