Spencer B Heninger (NPI# 1790781292, PAC ID# 6800823675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1790781292 |
| PAC ID by PECOS | 6800823675 |
| Professional Enrollment ID | I20050726000329 |
| Full Name | Spencer B Heninger |
| Address |
2310 N 400 Suite A Logan UT 84341-1796 |
| Gender | M |
| Credential | DPM |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131322 | FRANKLIN COUNTY MEDICAL CENTER |
| 460017 | BRIGHAM CITY COMMUNITY HOSPITAL |
| 460054 | CACHE VALLEY HOSPITAL |
| 460015 | LOGAN REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2310 N 400, Suite A, Logan, UT 84341-1796 | ||
| 2310 N 400, Suite A, North Logan, UT 84341-1796 | 4357872000 | ALPINE MANAGEMENT AND CONSULTING LLC |
| 44 N 1st, Preston, ID 83263-1326 | ||
| 44 N 1st, Preston, ID 83263-1326 | 2088520137 | ALPINE MANAGEMENT AND CONSULTING LLC |
| Street Address |
2310 N 400 SUITE A |
| City | LOGAN |
| State | UT |
| Zip | 84341-1796 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith J Nelson | Orthopedic Surgery | Alpine Management and Consulting LLC | 2310 N 400, Suite A, North Logan, UT 84341-1796 |
| Brian D Hess | Physician Assistant | Alpine Management and Consulting LLC | 2310 N 400, Suite A, North Logan, UT 84341-1796 |
| Michael L Clegg | Physical Medicine and Rehabilitation | Alpine Management and Consulting LLC | 2310 N 400, Suite A, North Logan, UT 84341-1796 |
| David M Rowley | Orthopedic Surgery | Alpine Management and Consulting LLC | 2310 N 400, Suite A, North Logan, UT 84341-1796 |
| Bradley C Bybee | Physician Assistant | Alpine Management and Consulting LLC | 2310 N 400, Suite A, North Logan, UT 84341-1796 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny E Spencer | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Roger M Moczygemba | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Robert P Young | Dermatology | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Heather B Allred | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Angela K Cronin | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Scott Eric Macdonald | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Christopher J Morgan | Nurse Practitioner | 2150 N Main St, Suite 10, North Logan, UT 84341-1740 | |
| Charles R Acevedo | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Jason Christiansen | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Ryan J Perry | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Find all physicians in zip 84341 | |||
| City | LOGAN |
| Zip Code | 84341 |
| Specialty | PODIATRY |
| City + Specialty | LOGAN + PODIATRY |
Please comment or provide details below to improve the information on Spencer B Heninger.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.