Active NPI
James D Spencer, DO
- Obstetrics & Gynecology Physician
- Carson City, MI
National Provider Identifier
1063495877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5101009107
- Practice address
- 406 E Elm St
Carson City, MI 48811-9693 - Phone
- (989) 584-6139
- Fax
- (989) 584-2541
- NPI assigned
- Nov 25, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5101009107 | MI | Primary |
Addresses
Primary practice location
406 E Elm St
Carson City, MI 48811-9693
Mailing address
406 E Elm St
Carson City, MI 48811-9693
Phone (989) 584-6139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200289920 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101009107 | MI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1063495877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 E ELM ST",
"city": "CARSON CITY",
"state": "MI",
"postal_code": "488119693",
"telephone_number": "989-584-6139",
"fax_number": "989-584-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 E ELM ST",
"city": "CARSON CITY",
"state": "MI",
"postal_code": "488119693",
"telephone_number": "989-584-6139",
"fax_number": "989-584-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "JAMES",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101009107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200289920",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carson City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.