Active NPI
Justin R Spencer, MD
- Family Medicine Physician
- Mason, OH
National Provider Identifier
1164897062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35133063
- Practice address
- 6030 S Mason Montgomery Rd
Mason, OH 45040-3706 - Phone
- (513) 246-7000
- Fax
- (513) 204-6352
- NPI assigned
- Dec 3, 2015
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 35133063 | OH | Primary |
Addresses
Primary practice location
6030 S Mason Montgomery Rd
Mason, OH 45040-3706
Mailing address
8094 Beechmont Ave
Cincinnati, OH 45255-3145
Phone (513) 232-7100
Other practice location 1
8094 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 232-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2565399 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6030 S Mason Montgomery Rd
Mason, OH 45040-3706
Phone (513) 246-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35133063 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G, LLC | Current | Accepting new patients | |
| Trihealth G LLC | Family Medicine | Current | Accepting new patients |
| Trihealth G LLC | Family Medicine | Past | Accepting new patients |
Locations
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
6030 S Mason Montgomery Rd
Mason, OH 45040
Phone (513) 234-0510
Interoperability endpoints
- jspencer292769@direct.trihealth.com
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.
-
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1164897062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8094 BEECHMONT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452553145",
"telephone_number": "513-232-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6030 S MASON MONTGOMERY RD",
"city": "MASON",
"state": "OH",
"postal_code": "450403706",
"telephone_number": "513-246-7000",
"fax_number": "513-204-6352"
}
],
"practiceLocations": [
{
"address_1": "8094 Beechmont Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "45255",
"country_code": "US",
"telephone_number": "513-232-7100",
"fax_number": "513-232-6975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "JUSTIN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-03",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35133063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2565399",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.