DR. STEPHEN CHARLES SPICER (NPI# 1649266180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649266180 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN CHARLES SPICER |
| Credential | M.D. |
| Practice Address |
1103 E Grace St Rensselaer IN 47978-3210 |
| Mailing Address |
Po Box 4699 Lafayette IN 47903-4699 |
| Practice Telephone | 2198664135 |
| Practice Fax Number | 2198660803 |
| Mailing Telephone | 7654492732 |
| Mailing Fax Number | 7654491196 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2017-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A01021575 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100219620A | 05 | |
| IN | PALMETTO GBA | 791083372 | 01 |
| IN | 1002919620 | 05 |
| Street Address |
1103 E GRACE ST |
| City | RENSSELAER |
| State | IN |
| Zip Code | 47978-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124589957 | Sharon A Johnson Fnp LLC | Nurse Practitioner | 1103 E Grace St, Rensselaer, IN 47978-3210 | 2019-03-26 |
| 1649707662 | Robert E Darnaby | Family Medicine | 1103 E Grace St, Rensselaer, IN 47978-3210 | 2017-05-22 |
| 1124397336 | Robert C Kaye | Family Medicine | 1103 E Grace St, Rensselaer, IN 47978-3210 | 2011-12-16 |
| 1467730606 | Unity Healthcare, LLC | Family Medicine | 1103 E Grace St, Rensselaer, IN 47978-3210 | 2011-07-21 |
| 1275708950 | Walter L Curry Dpm | Podiatrist | 1103 E Grace St, Rensselaer, IN 47978-3210 | 2008-04-24 |
| 1811983356 | Robert Ellis Darnaby | Family Medicine | 1103 E Grace St, Rensselaer, IN 47978-3210 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679710107 | Gordon P. Bausman | Dentist | 210 N. Front St., Rensselaer, IN 47978 | 2009-01-21 |
| 1669534962 | Stuart A Sandler | Family Medicine | 919 Grace Street, Rensselaer, IN 47978 | 2006-12-14 |
| 1225103146 | Jerry Lynn Markley | Chiropractor | 311 Drexel Parkway, Suite # 1, Rensellaer, IN 47978 | 2006-11-24 |
| 1538262225 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 107 N Cullen St, Rensselaer, IN 47978 | 2006-09-07 |
| 1609477793 | Donald Lowell Rusk | Pharmacist | Walmart, 905 S College Ave, Rensselaer, IN 47978 | 2020-11-04 |
| 1235689480 | Jasper County After Hours Urgent Care Inc | Clinic/Center | 716 S College Ave, Rensselaer, IN 47978 | 2016-10-12 |
| 1407230501 | Grainne O' Malley | Internal Medicine | 118 W Drexel Pkwy, Rensselaer, IN 47978 | 2015-07-17 |
| 1972916997 | Joseph Thomas Varnau | Family Medicine | 1104 E Grace St, Rensselaer, IN 47978 | 2014-06-06 |
| 1477812956 | Kirk Jihyon Pak | Internal Medicine | 1104 E Grace St, Rensselaer, IN 47978 | 2012-05-03 |
| 1104197326 | Julian Ungar-sargon Md Phd | Pain Medicine | 123 S Mckinley Ave, Rensselaer, IN 47978 | 2012-01-19 |
| Find all providers in zip 47978 | ||||
| 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 |
|---|---|---|---|---|
| 1780168740 | Samaritan Hospital of Troy, New York | Family Medicine | 2 Empire Drive, Suite 100, Rensselaer, NY 12144-5730 | 2018-09-17 |
| 1558626309 | Alina Nazar | Family Medicine | 2 Empire Dr Ste 100, Rensselaer, NY 12144-5730 | 2012-07-09 |
| 1669534962 | Stuart A Sandler | Family Medicine | 919 Grace Street, Rensselaer, IN 47978 | 2006-12-14 |
| 1487725750 | St. Peter's Hospital of The City of Albany | Family Medicine | 53 Columbia Street, Rensselaer, NY 12144-2933 | 2006-11-10 |
| 1376636910 | Keith Alan Rebehn | Family Medicine | 279 Troy Road, Rensselaer, NY 12144 | 2006-10-02 |
| 1528175676 | Steven R Beaver | Family Medicine | 919 E Grace St, Rensselaer, IN 47978-3207 | 2006-08-24 |
| 1396704268 | Patrick J Sheets | Family Medicine | 208 W Washington St, Rensselaer, IN 47978-2848 | 2006-03-20 |
| 1851370563 | Dulay & Dulay Md PC | Family Medicine | 223 Broadway, Rensselaer, NY 12144 | 2006-01-11 |
| 1609879675 | Stephen Kyle Rogers | Family Medicine | 716 S College Ave, Rensselaer, IN 47978-3083 | 2005-05-24 |
| 1285242396 | Southeastern Health Care, LLC | Family Medicine | 8 Harrison Ave, Rensselaer, NY 12144-2126 | 2020-07-15 |
| Find all providers in RENSSELAER | ||||
| City | RENSSELAER |
| Zip Code | 47978 |
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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.