SPENCER DANE UETZ


Address: 720 N Bond St, Springfield, IL 62702-4952
Phone: 2175458000

SPENCER DANE UETZ (NPI# 1871152397) 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) 1871152397
Entity Type Individual
Full Name SPENCER DANE UETZ
Credential MD
Practice Address 720 N Bond St
Springfield
IL 62702-4952
Mailing Address Po Box 19662
Springfield
IL 62794-9662
Practice Telephone 2175458000
Practice Fax Number 2175456544
Mailing Telephone 2175458000
Enumeration Date 2019-06-08
Last Update Date 2019-06-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 125074211 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 720 N BOND ST
City SPRINGFIELD
State IL
Zip Code 62702-4952

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790705507 Siu Physicians & Surgeons, Inc Orthopaedic Surgery 720 N Bond St, Springfield, IL 62702-4952 2006-07-21
1528680964 Noor-e-seher Ali Otolaryngology 720 N Bond St, Springfield, IL 62702-4952 2020-05-08
1477175982 Jillian Michelle Bleck Otolaryngology 720 N Bond St, Springfield, IL 62702-4952 2020-05-07
1942849096 Siu Physicians & Surgeons, Inc Durable Medical Equipment & Medical Supplies 720 N Bond St, Springfield, IL 62702-4952 2020-01-06
1750926077 Amanda Joann Mcdannald Nurse Practitioner 720 N Bond St, Springfield, IL 62702-4952 2019-11-11
1265917371 Evans M Mutua Nurse Practitioner 720 N Bond St, Springfield, IL 62702-4952 2018-09-25
1467947366 Guillermo Maza Malave Otolaryngology 720 N Bond St, Springfield, IL 62702-4952 2018-06-25
1295227783 Mitchell Louis Heuermann Otolaryngology 720 N Bond St, Springfield, IL 62702 2018-05-31
1336304856 Arun Sharma Otolaryngology 720 N Bond St, Springfield, IL 62702-4952 2008-07-24
1932361169 Pardis Javadi Otolaryngology 720 N Bond St, Springfield, IL 62702-4952 2008-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104354414 Sara M. Wing Otolaryngology 301 N 8th St Ste 5b, Springfield, IL 62701-1041 2017-05-31
1194157511 Harvey Thomas Staton Otolaryngology 3115 Henderson Ct, Springfield, OH 45503-1307 2013-08-08
1114052784 Robert H Osofsky Md PC Otolaryngology 299 Carew St., Suite 330, Springfield, MA 01104 2007-02-22
1760552897 Doctors Hearing Center LLC Xiv Otolaryngology 628 Commercial Street, Springfield, MO 75803 2006-11-08
1598875676 Eric Furst Otolaryngology 5504 Backlick Rd, Springfield, VA 22151 2006-08-30
1831113919 Michelle M Roeser Otolaryngology 8314 Traford Ln, C, Springfield, VA 22152-1651 2006-07-26
1952347254 Carl E Reiner Otolaryngology 100 E Wason Avenue, Suite 100, Springfield, MA 01107 2006-06-22
1316910714 Springfield Hospital Otolaryngology 364 River St, Springfield, VT 05156 2006-02-08
1851362289 Michael B Duvall Otolaryngology 435 South Burnett Road, Springfield, OH 45505-2717 2006-02-01
1053382689 Ear, Nose and Throat of Springfield, Inc Otolaryngology 435 S Burnett Rd, Springfield, OH 45505-2717 2006-01-31
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Competitor

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City SPRINGFIELD
Zip Code 62702

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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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