Todd a Spencer, MD, PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

L3839 Issued in TX

Legal business name

TODD A SPENCER, MD, PA

Practice address

11970 N Central Expy Ste 630
Dallas, TX 75243-3793

Phone

(972) 566-7188

Fax

(972) 566-2312

NPI assigned

Aug 19, 2009

Organization subpart

Yes

Parent organization

TODD A SPENCER,MD, PAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tanya S Green

Title

Practice Manager

Phone

(469) 806-0777

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Todd a Spencer MD PA

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Cardiac Cath Lab of Dallas, LP

  • Multi-Specialty Clinic/Center
  • Dallas, TX
  • NPI 1790031037

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd A Spencer, M.D.

  • Vascular Surgery Physician
  • Dallas, TX
  • NPI 1952343857
  Medicare reassignment

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1093947434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269092",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269092",
            "telephone_number": "469-806-0777",
            "fax_number": "469-694-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11970 N CENTRAL EXPY STE 630",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433793",
            "telephone_number": "972-566-7188",
            "fax_number": "972-566-2312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Forest Ln",
            "address_2": "Suite C516",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752302571",
            "country_code": "US",
            "telephone_number": "972-566-7188",
            "fax_number": "972-566-2312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TODD A SPENCER, MD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TODD A SPENCER,MD, PA",
        "enumeration_date": "2009-08-19",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "469-806-0777"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "L3839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157541702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0038TA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steve Willis Tobias, PA-C
• Jenna Tobillo, RN
• Rebecka Marie Tobin, PT
• Bincy Toby, FNP
• Today'S Vision Oak Cliff PLLC
• Todd McCarty, MD, PA
• Todd Wesley Hancock
• Charles Wayne Todd, M.D.
• Jonathan Todd, LPC-INTERN
• Leslie Todd

• Vascular Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.