Active NPI
Ariel Spencer, M.D.
- Surgery Physician
- Lagrange, IN
National Provider Identifier
1144437518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01066930A
- Practice address
- 207 N Townline Rd Ste 101
Lagrange, IN 46761-1325 - Phone
- (260) 463-9316
- Fax
- (260) 463-9334
- NPI assigned
- May 16, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD 47599 | TN | |
| Surgery Physician | 208600000X | 01066930A | IN | Primary |
Addresses
Primary practice location
207 N Townline Rd Ste 101
Lagrange, IN 46761-1325
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice location 1
325 N State Of Franklin Rd Fl 3
Johnson City, TN 37604-6171
Phone (423) 439-7201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD 47599 | Other | TN | TN MEDICAL LICENSE |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | aspencer225466@Direct.Parkviewexchange.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Columbia University College of Physicians and Surgeons, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Phone (843) 878-1101
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01066930A | IN | MD | Surgery Physician |
| MD 47599 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartsville Medical Group LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Surgery | Current | Accepting new patients |
| Parkview Health System, Inc. | Surgery | Current | Accepting new patients |
| Parkview Health System Inc | Surgery | Current | Accepting new patients |
| Medical Education Assistance Corporation | Surgery | Past | Accepting new patients |
Locations
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
207 N Townline Rd
Ste 101
Lagrange, IN 46761
Phone (260) 463-9316
207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300
317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901
1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366
700 Medical Park Dr
Hartsville, SC 29550
Phone (843) 383-3742
Interoperability endpoints
- aspencer225466@direct.parkviewexchange.com
- https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Hartsville, SC
- NPI 1598995300
-
- Cardiovascular Disease Physician
- Greenville, SC
- NPI 1821679580
Surgery
-
- Orthopaedic Surgery Physician
- Fountain Inn, SC
- NPI 1760361174
-
- Obstetrics & Gynecology Physician
- Johnson City, TN
- NPI 1679842637
Surgery
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shelby, NC
- NPI 1669348991
-
- General Acute Care Hospital
- Hartsville, SC
- NPI 1174500458
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1144437518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 N TOWNLINE RD STE 101",
"city": "LAGRANGE",
"state": "IN",
"postal_code": "467611325",
"telephone_number": "260-463-9316",
"fax_number": "260-463-9334"
}
],
"practiceLocations": [
{
"address_1": "325 N State Of Franklin Rd Fl 3",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046171",
"country_code": "US",
"telephone_number": "423-439-7201",
"fax_number": "423-439-7219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "ARIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "MD 47599",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01066930A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN MEDICAL LICENSE",
"identifier": "MD 47599",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "207 N Townline Rd Ste 101",
"city": "LaGrange",
"state": "IN",
"country_code": "US",
"postal_code": "467611325",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "207 N Townline Rd Ste 101",
"city": "LaGrange",
"state": "IN",
"country_code": "US",
"postal_code": "467611325",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aspencer225466@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "207 N Townline Rd Ste 101",
"city": "LaGrange",
"state": "IN",
"country_code": "US",
"postal_code": "467611325",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lagrange, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.