MR. PETER JOHN SPENCE (NPI# 1972711810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972711810 |
| Entity Type | Individual |
| Full Name | MR. PETER JOHN SPENCE |
| Credential | M.D. |
| Practice Address |
401 Nw 42nd Ave Plantation FL 33317-2835 |
| Mailing Address |
1580 Victoria Isle Way Weston FL 33327-1315 |
| Practice Telephone | 9545875010 |
| Mailing Telephone | 9175327040 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME134402 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | OS10286 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 243904 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1368 North University Drive, Plantation, FL 333224734 | 9545770001 | 9545770171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669946240 | Peter Spence | Physical Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2019-01-16 |
| 1770604324 | Peter Kimball Spence | Dentist | 3601 S Clarkson St, 315, Englewood, CO 80113-3944 | 2007-04-02 |
| Street Address |
401 NW 42ND AVE |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-2835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316947500 | Roberta A. Santini | Specialist | 401 Nw 42nd Ave, Plantation, FL 33317 | 2005-07-28 |
| 1467018507 | Fatima Hussain | Physician Assistant | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2019-05-14 |
| 1114426715 | Andrene Reid | Nurse Anesthetist, Certified Registered | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2018-02-08 |
| 1932617214 | Ekaterina Delgado | Nurse Anesthetist, Certified Registered | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2018-01-20 |
| 1013380757 | Meridian Emergency Physicians, LLC | Physician Assistant | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2015-11-03 |
| 1164895066 | Fortis Emergency Physicians, LLC | Physician Assistant | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2015-11-02 |
| 1831507672 | Alesha Daley | Pharmacist | 401 Nw 42nd Ave, Plantation, FL 33317 | 2014-07-24 |
| 1205254737 | Occy Medical | Clinic/Center | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2014-04-02 |
| 1356767651 | Radiology Physician Solutions of Florida, LLC | Radiology | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2014-03-11 |
| 1245656644 | Chickadee Inpatient Services LLC | Emergency Medicine | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2014-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831417146 | Kevan M. Zipin | Emergency Medicine | 8201 W. Broward Blvd., Plantation, FL 33324 | 2010-05-11 |
| 1477716645 | Jason Gamez | Emergency Medicine | 401 Nw 2nd Ave., Plantation General Hospital, Plantation, FL 33317-2835 | 2008-07-08 |
| 1184845646 | Kevin M Boehm | Emergency Medicine | 7700 W Sunrise Blvd # 200, Plantation, FL 33322-4113 | 2007-05-01 |
| 1013081249 | Deborah Tisdale | Emergency Medicine | 1843 Nw 96th Ave, Plantation, FL 33322-5626 | 2006-11-20 |
| 1336244698 | Arold J. Augustin | Emergency Medicine | 4301 W Sunrise Blvd, Plantation, FL 33313-6749 | 2006-09-13 |
| 1043237514 | Bart Keith Gershenbaum | Emergency Medicine | 220 Sw 84th Ave Ste 201, Plantation, FL 33324-2729 | 2006-07-17 |
| 1154366623 | Sat P Punyani | Emergency Medicine | 11613 Nw 5th St, Plantation, FL 33325-1908 | 2006-06-18 |
| 1689195406 | Chandelle Raza-rodriguez | Emergency Medicine | 8201 W Broward Blvd, Plantation, FL 33324-2701 | 2017-06-30 |
| 1235660416 | Colin Hagen | Emergency Medicine | 8201 W Broward Blvd, Plantation, FL 33324-2701 | 2017-03-21 |
| 1134574544 | Julian Flores | Emergency Medicine | 8201 W Broward Blvd, Plantation, FL 33324-2701 | 2016-05-04 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33317 |
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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.