DR. ERIC DAXTON SPENCER


Address: 5001 Hardy St, Hattiesburg, MS 39402-1308
Phone: 6012963963

DR. ERIC DAXTON SPENCER (NPI# 1518594761) 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) 1518594761
Entity Type Individual
Full Name DR. ERIC DAXTON SPENCER
Credential DO, MS, RN
Practice Address 5001 Hardy St
Hattiesburg
MS 39402-1308
Mailing Address 417 Concord Pl Nw
Cleveland
TN 37312-8225
Practice Telephone 6012963963
Mailing Telephone 4237181391
Enumeration Date 2020-03-26
Last Update Date 2020-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers ERIC SPENCER

NPI Name Taxonomy Address Enumeration
1154753044 Eric Christopher Spencer Physical Therapist 2615 Sw 22nd Ave, Apt.1, Miami, FL 33133-2366 2013-08-02
1558824243 Eric Spencer Case Manager/Care Coordinator 2750 Sutterville Rd, Sacramento, CA 95820-1024 2019-04-09
1689105611 Eric Spencer Family Medicine 12436 Gregg Manor Rd, Manor, TX 78653-4138 2017-03-22
1215225115 Eric Lloyd Spencer Physical Therapist 1224 E Westview Ct, Spokane, WA 99218-3813 2011-07-13
1790947265 Eric W Spencer Dentist 4735 Ogletown Stanton Rd, Medical Arts Pavilion 2, Ste 1115, Newark, DE 19713-2072 2008-06-26
1255504239 Eric N. Spencer Counselor 1650 Greenfield St, Wilmington, NC 28401-6456 2008-04-10
1568417574 Eric A Spencer Emergency Medicine 1460 G St, Springfield, OR 97477-4112 2006-05-24
1245219856 Eric M Spencer Orthopaedic Surgery 970 N Broadway, Suite 204, Yonkers, NY 10701-1309 2006-01-12

Office Location

Street Address 5001 HARDY ST
City HATTIESBURG
State MS
Zip Code 39402-1308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669475315 Gregory Richard Sims Registered Nurse 5001 Hardy St, Hattiesburg, MS 39402-1308 2005-05-24
1497377170 Kristi Morgan Social Worker 5001 Hardy St, Hattiesburg, MS 39402-1308 2020-05-15
1275154619 Wesley Health System LLC Clinical Medical Laboratory 5001 Hardy St, Hattiesburg, MS 39402-1308 2020-04-27
1477181899 Shivalika Rhea Singh Student in an Organized Health Care Education/Training Program 5001 Hardy St, Hattiesburg, MS 39402-1308 2020-03-31
1750919163 Christopher Riley Student in an Organized Health Care Education/Training Program 5001 Hardy St, Hattiesburg, MS 39402-1308 2020-03-31
1295363729 Hora Nemati Rezvani Student in an Organized Health Care Education/Training Program 5001 Hardy St, Hattiesburg, MS 39402-1308 2020-03-30
1275161788 Michael Corso Student in an Organized Health Care Education/Training Program 5001 Hardy St, Hattiesburg, MS 39402-1308 2020-03-30
1871121582 Alexander Oh Student in an Organized Health Care Education/Training Program 5001 Hardy St, Hattiesburg, MS 39402-1308 2020-03-29
1073141891 Vashishtha Patel Student in an Organized Health Care Education/Training Program 5001 Hardy St, Hattiesburg, MS 39402-1308 2020-03-28
1316575160 Madeline Sarah Larossa Student in an Organized Health Care Education/Training Program 5001 Hardy St, Hattiesburg, MS 39402-1308 2020-03-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518572965 Resilient Therapy and Solutions, Pllc Clinic/Center 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 2020-09-12
1932710225 Jones County Medical Supplies, Inc Durable Medical Equipment & Medical Supplies 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 2020-08-11
1467086736 Elizabeth A. Perry Technician 1220 Marrie St, Hattiesburg, MS 39402 2020-02-26
1225678063 Connor Gregory Galloway Physical Therapist 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 2020-01-09
1487291456 Megan Marie Smith Social Worker 11 Woodstone Plaza, Hattiesburg, MS 39402 2019-12-09
1821656612 Julie Covington Mcmahan Dentist 100 Madison Plaza, Hattiesburg, MS 39402 2019-06-05
1295392074 Hattiesburg Clinic, Pa Preventive Medicine 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 2019-05-28
1760945356 Rachandeep Chahal Student in an Organized Health Care Education/Training Program 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 2019-04-10
1386101137 Courtney L Smith Behavior Technician 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 2019-02-28
1891269940 Amanda Laine Mcarthur-macisaac Registered Nurse 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 2019-01-11
Find all providers in zip 39402

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003420092 Merrick Greene Jackson Student in an Organized Health Care Education/Training Program 120 Natalie Ln, Hattiesburg, MS 39402-3080 2020-09-07
1730709627 Logan Armond Wilson Student in an Organized Health Care Education/Training Program 301 Romar Pl, Hattiesburg, MS 39402-1299 2020-04-21
1417590142 Keshun Jackson Student in an Organized Health Care Education/Training Program 203 N 25th Ave, Hattiesburg, MS 39401-5958 2019-10-25
1760945356 Rachandeep Chahal Student in an Organized Health Care Education/Training Program 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 2019-04-10
1609338318 Naimish Mehta Student in an Organized Health Care Education/Training Program 5001 Hardy Street - Merit Health Wesley, Hattiesburg, MS 39602 2019-04-02
1245690551 Dustin Kilpatrick Student in an Organized Health Care Education/Training Program 111 Breckenridge Dr, Apt 304, Hattiesburg, MS 39402-7324 2016-02-29
1982211496 Jessica Lero Student in an Organized Health Care Education/Training Program 118 College Dr, Hattiesburg, MS 39406-0002 2020-09-29
1578170429 Ranesha Cook Student in an Organized Health Care Education/Training Program 118 College Dr, Hattiesburg, MS 39406-0002 2020-09-24
1437766540 Trinity Latrice Mcclain Student in an Organized Health Care Education/Training Program 118 College Dr, Hattiesburg, MS 39406-0002 2020-09-23
1255947461 Madison Grace Mitchell Student in an Organized Health Care Education/Training Program 118 College Dr, Hattiesburg, MS 39406-0002 2020-09-22
Find all providers in HATTIESBURG

Competitor

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City HATTIESBURG
Zip Code 39402

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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