SPENCER GREY


Address: 334 E Evans St, Norfolk, VA 23503-5213
Phone: 7032322733

SPENCER GREY (NPI# 1861753030) 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) 1861753030
Entity Type Individual
Full Name SPENCER GREY
Practice Address 334 E Evans St
Norfolk
VA 23503-5213
Mailing Address Po Box 48
Oquossoc
ME 04964-0048
Practice Telephone 7032322733
Mailing Telephone 7032322733
Enumeration Date 2012-06-05
Last Update Date 2012-06-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address 334 E EVANS ST
City NORFOLK
State VA
Zip Code 23503-5213

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1124186903 Hope In Home Care LLC Technician 6325 North Center Drive, Ste 206, Norfolk, VA 23503 2006-12-05
1639559537 Don-thomas Tindle Physician Assistant 1501 Chela Ave, Norfolk, VA 23503-1006 2015-06-05
1063590313 Laura M Stacey Behavioral Analyst 1418 W Ocean View Ave, Norfolk, VA 23503-1015 2006-11-02
1376781849 Mattie L. Brown Counselor 1382 W Ocean View Ave # B, Norfolk, VA 23503-1108 2009-01-21
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447814090 Francis Anthony Edquid Military Health Care Provider 9560 Farragut Ave, Norfolk, VA 23511-2715 2019-04-30
1215591888 Nash Richard Galvan Military Health Care Provider 456-462 Pocahontas St, Norfolk, VA 23511 2019-04-29
1841694684 Andre Huggins Military Health Care Provider 1687 Pocahontas St, Bldg 1a, Norfolk, VA 23511-2918 2014-10-21
1508155375 Leonard B Gordon Military Health Care Provider Comnavsurflant N02m, 1430 Mitscher Ave, Norfolk, VA 23551-2494 2011-04-01
1073812095 Eric William Staley Military Health Care Provider 7958 Blandy Road, Commander Submarine Force Atlantic, Norfolk, VA 23551-2492 2011-03-16
1497051460 Mitchell Todd Pearce Military Health Care Provider 1004 Hermitage Rd., Norfolk, VA 23521-5000 2011-02-08
1003119538 Shayla R Robertson Military Health Care Provider 150 Allen St, Norfolk, VA 23505-1373 2010-12-05
1053629964 Shawnly Heath Ward Military Health Care Provider Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 2010-09-14
1225351760 Jocelyn Martinezdelgado Military Health Care Provider 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 2010-03-11
1750610788 Melissa Christine Foster Military Health Care Provider 2901 Amphibious Drive, Acu-2, Norfolk, VA 23521 2009-12-22
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Competitor

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City NORFOLK
Zip Code 23503

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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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