Active NPI
Warren Scott Spencer, MD
- Diagnostic Radiology Physician
- Cedar Rapids, IA
National Provider Identifier
1043475247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 40113
- Practice address
- 1948 1St Ave NE
Cedar Rapids, IA 52402-5321 - Phone
- (319) 364-0121
- Fax
- (319) 364-5684
- NPI assigned
- Jul 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R8296 | IA | |
| Diagnostic Radiology Physician | 2085R0202X | 40113 | IA | Primary |
Addresses
Primary practice location
1948 1St Ave NE
Cedar Rapids, IA 52402-5321
Mailing address
1948 1St Ave NE
Cedar Rapids, IA 52402-5321
Phone (319) 364-0121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043475247 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20190717004171 | AZ | Practitioner - Diagnostic Radiology | 6406002153 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prescott Radiologists LLPYavapai Community Hospital Association
Practice addresses (Care Compare)
7700 E Florentine Rd
Prescott Valley, AZ 86314-2245
Phone (928) 634-0665
810 Whipple St
Prescott, AZ 86301-1606
Phone (928) 771-7577
Hospital & facility affiliations
- Yavapai Regional Medical Center
- St Josephs Hospital and Medical Center
- Banner - University Medical Center Phoenix
- City of Hope Cancer Center Phoenix
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8296 | IA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yrmc Hospice | Current | Accepting new patients | |
| Prescott Radiologists LLP | Current | Accepting new patients | |
| Yavapai Pathology Associates PLC | Current | Accepting new patients | |
| Yavapai Community Hospital Association | Current | Accepting new patients |
Locations
810 Whipple St
Prescott, AZ 86301
Phone (928) 771-7577
1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700
7700 E Florentine Rd
Prescott Vly, AZ 86314
Phone (928) 445-2700
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology Physician
- Prescott, AZ
- NPI 1841234184
-
- Community Based Hospice Care Agency
- Prescott Valley, AZ
- NPI 1467409219
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
Hospital
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
Hospital
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1043475247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1948 1ST AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025321",
"telephone_number": "319-364-0121",
"fax_number": "319-364-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1948 1ST AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025321",
"telephone_number": "319-364-0121",
"fax_number": "319-364-5684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "WARREN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-28",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "R8296",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "40113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043475247",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.