Spencer Surgery and Laser Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SPENCER SURGERY AND LASER CENTER, LLC

Practice address

1721 W 18TH St
Spencer, IA 51301-2827

Phone

(712) 262-8878

Fax

(712) 262-8807

NPI assigned

Jul 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Dennis D Gordy, MD

Title

President

Phone

(712) 262-8878

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Iowa Eye Institute, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Spencer, IA
  • NPI 1255330460

  Member Of

  NPD member

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1194954636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 W 18TH ST",
            "address_2": "P O BOX 420",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012827",
            "telephone_number": "712-262-8878",
            "fax_number": "712-262-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 W 18TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012827",
            "telephone_number": "712-262-8878",
            "fax_number": "712-262-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER SURGERY AND LASER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "GORDY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-262-8878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Municipal Hospital
• Spencer Municipal Hospital
• Spencer Municipal Hospital
• Spencer Municipal Hospital
• Spencer Psychiatric & Counseling Services LLC
• Spencer Total Family Eyecare PC
• Spencer Total Family Eyecare, P.C.
• Morgan Elizabeth Spielman
• St Luke Homes & Services Inc
• Stanley Family Chiropractic PC

• Ambulatory Surgical Clinic/Center in Spencer, IA
• Providers in Spencer, IA by specialty
• Ambulatory Surgical Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.