Active NPI
Steven N. Spence, M.D.
- Family Medicine Physician
- Blackstone, VA
National Provider Identifier
1093745663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101030676
- Practice address
- 920 S Main St
Blackstone, VA 23824-2600 - Phone
- (434) 292-7261
- Fax
- (434) 298-0908
- NPI assigned
- Jul 3, 2006
- Last updated
- Nov 23, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101030676 | VA | Primary |
Addresses
Primary practice location
920 S Main St
Blackstone, VA 23824-2600
Mailing address
920 S Main St
Blackstone, VA 23824-2600
Phone (434) 292-7261
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48903 | Other | VA | SENTARA |
| 2138101 | Other | VA | MAMSI |
| 5245049 | Other | VA | AETNA LIFE |
| 010198739 | Medicaid | VA | |
| 181138 | Other | VA | ANTHEM BCBS OF VA |
| 311545 | Other | VA | SOUTHERN HEALTH SERVICES |
| 563715 | Other | VA | AETNA HMO |
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St Marys Hospital of Richmond LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Bon Secours Critical Care Transport
- Land Ambulance
- Richmond, VA
- NPI 1124772470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1093745663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 S MAIN ST",
"city": "BLACKSTONE",
"state": "VA",
"postal_code": "238242600",
"telephone_number": "434-292-7261",
"fax_number": "434-298-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 S MAIN ST",
"city": "BLACKSTONE",
"state": "VA",
"postal_code": "238242600",
"telephone_number": "434-292-7261",
"fax_number": "434-298-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "STEVEN",
"middle_name": "N.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101030676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "48903",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2138101",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA LIFE",
"identifier": "5245049",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010198739",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF VA",
"identifier": "181138",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH SERVICES",
"identifier": "311545",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "563715",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blackstone, VA
- S & S Health Care, Inc. (Interim HealthCare)
- Safe Helping Hands LLC
- Michaela Nicole Cruz San Juan, MD
- Rauan Satbekov, M.D.
- Specialty Healthcare
- Spencer's Drug Store, Inc.
- Spencers Drug Store Inc
- Kristina Diane Staples, DDS.
- Starke Behavioral Health Association Inc
- Starke Behavioral Health Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.