David Lamar Spencer Sr., MD

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

09344 Issued in MS

Practice address

2525 Telephone Rd
Pascagoula, MS 39567-3202

Phone

(228) 762-4483

Fax

(228) 769-0406

NPI assigned

Jul 29, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1053326348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 TELEPHONE RD",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395673202",
            "telephone_number": "228-762-4483",
            "fax_number": "228-769-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 TELEPHONE RD",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395673202",
            "telephone_number": "228-762-4483",
            "fax_number": "228-769-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DAVID",
        "middle_name": "LAMAR",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MS",
            "license": "09344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115807",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020041899",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Ms Heart Center,PA
• Speakeasy Clinic
• Janiya Spears, M.S., CCC-SLP
• Amy Sanders Spencer, D.M.D.
• Brian K Spencer, O.D.
• Rebekah N Stallworth, APRN
• Mark G. Stavros, M. D.
• Thomas E. Stevens Jr., MD
• John Stoudenmire Jr., PHD
• Lacey Sullivan, M.D.

• Surgical Critical Care Physician in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Surgical Critical Care Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.