Spencer A Kepner, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

OA-000094-L Issued in PA

Practice address

HC 63 Box 48C
Mifflintown, PA 17059-9049

Phone

(717) 436-5578

Fax

(717) 436-5911

NPI assigned

Jun 12, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Family Health Associates of Geisinger Lewistown Hospital

  • Family Medicine Physician
  • Lewistown, PA
  • NPI 1043265119
  NPD (past)
• Recalde Ear Nose & Throat Clinic PC

  • Otolaryngology Physician
  • Lewistown, PA
  • NPI 1710089867
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1114969318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170590067",
            "telephone_number": "717-436-5578",
            "fax_number": "717-436-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 63 BOX 48C",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170599049",
            "telephone_number": "717-436-5578",
            "fax_number": "717-436-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPNER",
        "first_name": "SPENCER",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA-000094-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Li Henry
• William Dane Henry, PTA
• Journey to Hope Counseling LLC
• Juniata Chiropractic LLC
• Juniata County School District
• Sharon E Knouse, MPT
• Shellie R Kratzer, CRNP
• Brianne Peterson Lattanzi, DPT
• Evan Madsen
• Making a Difference Counseling Center

• Medical Physician Assistant in Mifflintown, PA
• Providers in Mifflintown, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.