Active NPI
Andrew Spencer, MD
- Surgery Physician
- Seattle, WA
National Provider Identifier
1023810330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ML61680683
- Practice address
- 1959 NE Pacific St Box #356410
Seattle, WA 98195-0001 - Phone
- (206) 543-3654
- NPI assigned
- Mar 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ML61680683 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St Box #356410
Seattle, WA 98195-0001
Mailing address
1959 NE Pacific St Box #356410
Seattle, WA 98195-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250623001806 | WA | Order and Referring Only - General Surgery | 2062924491 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML61680683 | WA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1023810330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST BOX #356410",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST BOX #356410",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-543-3654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-26",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "ML61680683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.