DR. MARSHALL S SPENCER (NPI# 1609921048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609921048 |
| Entity Type | Individual |
| Full Name | DR. MARSHALL S SPENCER |
| Credential | M.D. |
| Practice Address |
4005 Orchard Dr Midland MI 48670-0001 |
| Mailing Address |
1400 W Clark Rd Dewitt MI 48820-9629 |
| Practice Telephone | 5173365176 |
| Practice Fax Number | 5173365475 |
| Mailing Telephone | 5176680109 |
| Mailing Fax Number | 5173365475 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301033961 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4845588 | 05 | |
| NPI | 1609921048 | 01 |
| Street Address |
4005 ORCHARD DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48670-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730168907 | Juanita M Rivera | Anesthesiology | 4005 Orchard Dr, Midland, MI 48670-0001 | 2006-01-16 |
| 1235646308 | Sarah Ann Schumacher | Physician Assistant | 4005 Orchard Dr, Midland, MI 48670-2001 | 2018-01-10 |
| 1124485727 | Heidi Smithingell | Specialist/Technologist | 4005 Orchard Dr, Midland, MI 48670-0001 | 2016-01-27 |
| 1356624324 | Heather Christine Wood | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2011-09-26 |
| 1215219928 | Midmichigan Visiting Nurse Assoc | Durable Medical Equipment & Medical Supplies | 4005 Orchard Dr, Suite Level B, Midland, MI 48670-0001 | 2011-09-20 |
| 1205120045 | Jesse Myers | Internal Medicine | 4005 Orchard Dr, Midland, MI 48670-2001 | 2011-06-08 |
| 1497055438 | Debbie J Jensen | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2010-10-25 |
| 1982914149 | Courtney R Hills | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2010-10-20 |
| 1598091134 | Nusrat Qayyum | Physician Assistant | 4005 Orchard Dr, Midland, MI 48670-0001 | 2009-11-01 |
| 1730414079 | Kristin Michelle Short | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2009-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104048768 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 4000 Wellness, Midland, MI 48670 | 2007-05-03 |
| 1669414736 | William Thomas Mccadie Jr. | Internal Medicine | 4000 Wellness Dr., Mid Michigan Health, Midland, MI 48670 | 2006-06-12 |
| 1366096828 | Christine Marie Pasko | Nurse Anesthetist, Certified Registered | 4000 Wellness Dr, Midland, MI 48670 | 2019-08-01 |
| 1942702493 | Joebelle Dela Cruz Ingalla | Physical Therapist | 4000 Wellness Dr, Midland, MI 48670 | 2018-03-01 |
| 1215386552 | Monica Tadros | Internal Medicine | 4000 Wellness Dr, Midland, MI 48670 | 2016-06-07 |
| 1225404510 | Oluwakemi Soetan | Internal Medicine | 4000 Wellness, Midland, MI 48670 | 2015-08-20 |
| 1487074175 | Tiffany Thalappillil Philip | Family Medicine | 4000 Wellness Dr, Midland, MI 48670 | 2014-04-21 |
| 1730526393 | Erica Ann Waddle | Internal Medicine | 4000 Wellness Dr, Midland, MI 48670 | 2013-05-22 |
| 1871882365 | Foaz Kayali | Radiology | 4000 Wellness Dr, Midland, MI 48670 | 2011-04-05 |
| 1477866044 | Sundeep Atluri | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670 | 2010-07-23 |
| Find all providers in zip 48670 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821231150 | Anand Cholia Md Pa | Internal Medicine | 400 N Garfield St Ste 140, Midland, TX 79701-5905 | 2009-04-16 |
| 1982731659 | Midmichigan Medical Center-midland | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670-0001 | 2007-02-28 |
| 1700929742 | Michael S Miller | Internal Medicine | 400 N Garfield, Suite 240, Midland, TX 79701-5904 | 2007-02-15 |
| 1205849114 | Midland Cardiac Clinic, Pa | Internal Medicine | 4214 Andrews Hwy Ste 100a, Midland, TX 79703-4873 | 2006-08-14 |
| 1245214295 | Adelto Adan | Internal Medicine | 4406 Orchard, Midland, MI 48670-0001 | 2005-12-02 |
| 1023010204 | Waleed H Doghmi | Internal Medicine | 301 W Wackerly St, Midland, MI 48640-2761 | 2005-06-01 |
| 1679123475 | Mark Isaac Davis | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 240, Midland, TX 79701-5856 | 2019-09-13 |
| 1275836736 | Permian Cardiology, Inc. | Internal Medicine | 400 Rosalind Redfern Grover Pkwy, Suite 240, Midland, TX 79701-5846 | 2010-12-06 |
| 1972816189 | Evbu Omoyemwen Enakpene | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 240, Midland, TX 79701-5856 | 2010-07-16 |
| 1710210679 | William Michael Plaza Mellana Jr. | Internal Medicine | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48670 | 2009-09-10 |
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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.