Active NPI
Spencer Evenhuis, D.O.
- Anesthesiology Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 13458
- Practice address
- 721 Madison St SE
Huntsville, AL 35801-4408 - Phone
- (256) 880-6711
- Fax
- (256) 880-6712
- NPI assigned
- Apr 19, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 13458 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | AL05483 | AL |
Addresses
Primary practice location
721 Madison St SE
Huntsville, AL 35801-4408
Mailing address
PO Box 288
Huntsville, AL 35804-0288
Phone (256) 880-6711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8111
Hospital & facility affiliations
- Southeast Health Medical Center
- Flowers Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13458 | CA | MD | Chiropractor |
| AL05483 | AL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Alabama Surgery Center LLC | Anesthesiology | Current | Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Anesthesia Consultants Medical Group PC | Anesthesiology | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
2800 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-3411
1118 Ross Clark Cir
Ste 700
Dothan, AL 36301
Phone (334) 793-5105
2800 Ross Clark Cir
Ste 3
Dothan, AL 36301
Phone (334) 793-3411
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Dothan, AL
- NPI 1902885874
Anesthesiology
-
- Ambulatory Surgical Clinic/Center
- Dothan, AL
- NPI 1346349164
Anesthesiology
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1144510595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 288",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358040288",
"telephone_number": "256-880-6711",
"fax_number": "256-880-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 MADISON ST SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014408",
"telephone_number": "256-880-6711",
"fax_number": "256-880-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVENHUIS",
"first_name": "SPENCER",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-19",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "13458",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "AL05483",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.