NPIMap

Individual provider Active NPI

Kristin Clingman Spencer, MD

  • Emergency Medicine Physician
  • Leesport, PA
National Provider Identifier
1154361848
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD437038 Issued in PA
Practice address
5479 Pottsville Pike
Leesport, PA 19533-8650
Phone
(610) 916-1050
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD437038 PA Primary

Addresses

Primary practice location

5479 Pottsville Pike
Leesport, PA 19533-8650

Mailing address

50 Commerce Dr
Wyomissing, PA 19610-3335
Phone (610) 372-8044

Other identifiers 1

IdentifierTypeStateIssuer
102334858MedicaidPA

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

OrganizationSpecialtyStatusNew patients
Pacific Emergency Providers, a Prof. Corp. Emergency Medicine Past Accepting new patients
Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Fair Oaks Emergency Physicians, PLLC Past Accepting new patients
California Em-I Medical Services, a Medical Corporation Emergency Medicine Past Accepting new patients
Pottstown Hospital, LLC Past Accepting new patients
Emergency Medicine Group of Encinitas, Inc Emergency Medicine Past Accepting new patients
Yakima Neighborhood Health Services PastSince Dec 1, 2018 Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1154361848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COMMERCE DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103335",
            "telephone_number": "610-372-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 POTTSVILLE PIKE",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195338650",
            "telephone_number": "610-916-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KRISTIN",
        "middle_name": "CLINGMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD437038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102334858",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.