DR. SPENCER LOUIS BLUMBERG (NPI# 1508358631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508358631 |
| Entity Type | Individual |
| Full Name | DR. SPENCER LOUIS BLUMBERG |
| Credential | D.M.D. |
| Practice Address |
1600 Sw Archer Rd. Rm. D7-6 Gainesville FL 32610 |
| Mailing Address |
1600 Sw Archer Rd Rm D7-6 Gainesville FL 32610-0416 |
| Practice Telephone | 3522736750 |
| Practice Fax Number | 3523927609 |
| Mailing Telephone | 3522736750 |
| Mailing Fax Number | 3523927609 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN23373 | FL | Dental Providers |
| Street Address |
1600 SW ARCHER RD. RM. D7-6 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649230897 | Anna Liza O Co | Radiology | 1600 Sw Archer Rd., University of Florida/radiology Rm G393, Gainesville, FL 32610 | 2006-03-23 |
| 1487050621 | Naomi L. Sullivan | Nurse Practitioner | 1600 Sw Archer Rd., Box 100296, Gainesville, FL 32610-0296 | 2014-11-17 |
| 1952749756 | Elmer Leonard Riley IIi | Internal Medicine | 1600 Sw Archer Rd., Gainesville, FL 32610 | 2013-06-13 |
| 1467739011 | Chintan Pareshbhai Shah | Internal Medicine | 1600 Sw Archer Rd., Box 100238, Gainesville, FL 32610-0238 | 2011-11-10 |
| 1407164320 | Naykky Maruquel Singh Ospina | Internal Medicine | 1600 Sw Archer Rd., Box 100226, Gainesville, FL 32610-0226 | 2010-09-14 |
| 1972810067 | Daniel Edward Torres | Dentist | 1600 Sw Archer Rd., Gainesville, FL 32610-0405 | 2010-09-10 |
| 1154633964 | Liping Liu | Pathology | 1600 Sw Archer Rd., Box 100275, Gainesville, FL 32610-0275 | 2010-07-09 |
| 1295856987 | Julio Alberto Leey-casella | Internal Medicine | 1600 Sw Archer Rd., Box 100226, Gainesville, FL 32610-0226 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
| 1013251065 | Hamad A Alharbi | Dentist | 1395 Center Drive Oral and Maxillofacial Surgery, Gainesville, FL 32610-1005 | 2012-11-15 |
| 1306108865 | W Jones Phillips Dds PC | Dentist | 698 Medical Park Ln, Gainesville, GA 30501-2084 | 2012-06-11 |
| 1376821777 | Williamson T. Ratliff | Dentist | 2121 Nw 40th Ter Ste C, Gainesville, FL 32605-5814 | 2011-08-02 |
| 1750524351 | Neeraj Ravindra Nagella | Dentist | 3736 Nw 27th St, Gainesville, FL 32605-2074 | 2009-04-13 |
| 1538338439 | Marvin Slott Dds Pa | Dentist | 6801 Nw 9th Blvd Ste 1, Gainesville, FL 32605-4263 | 2008-02-25 |
| 1376615880 | Nevil Phillip Bush | Dentist | 1221 A Sherwood Park Dr Ne, Gainesville, GA 30501 | 2006-11-14 |
| 1023117629 | Philip Erich Koch | Dentist | 1221 Sherwood Park Drive, Suite B, Gainesville, GA 30501 | 2006-09-21 |
| 1578674271 | Fred H Simonton IIi | Dentist | 1221 Sherwood Park Dr Ne Ste C, Gainesville, GA 30501-3404 | 2006-08-31 |
| 1336174846 | Caton & Taylor Pa | Dentist | 2121 Nw 40th Terrace, Ste C, Gainesville, FL 32605 | 2006-07-12 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
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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.