H Todd Spencer, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

55833 Issued in MA

Practice address

3130 State Hwy Rte 6
Wellfleet, MA 02667-7402

Phone

(508) 349-3131

Fax

(508) 349-1311

NPI assigned

Jun 6, 2006

Last updated

Aug 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Haven Todd Spencer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foundation Medical Partners Inc.

  • Durable Medical Equipment & Medical Supplies
  • Amherst, NH
  • NPI 1679921472
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1013956648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1413",
            "city": "WELLFLEET",
            "state": "MA",
            "postal_code": "026671413",
            "telephone_number": "508-905-2800",
            "fax_number": "508-240-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 STATE HWY RTE 6",
            "city": "WELLFLEET",
            "state": "MA",
            "postal_code": "026677402",
            "telephone_number": "508-349-3131",
            "fax_number": "508-349-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "H",
        "middle_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "55833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "S400253655",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80001854",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAVEN",
            "last_name": "SPENCER",
            "middle_name": "TODD",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sea Smiles Dental Hygiene
• Thomas K Slack, M.D.
• Brianne Smith, LICSW
• Susan E Smith, LCSW
• Susan Spaniol, L.M.H.C.
• Jennifer Hope Subrin
• Richard Joseph Sughrue III
• Sarah Sykes Sulsky, RD, CDE
• Rebecca Hope Taylor, CPM
• Town of Wellfleet Office of the Treasurer

• Internal Medicine Physician in Wellfleet, MA
• Providers in Wellfleet, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.