Active NPI
David D. Spencer, D.O
- Surgery Physician
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0102201265
- Practice address
- 113 Gainsborough SQ
Ste 400
Chesapeake, VA 23320-1713 - Phone
- (757) 842-4499
- Fax
- (757) 842-1447
- NPI assigned
- Apr 19, 2006
- Last updated
- May 28, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0102201265 | VA | Primary |
Addresses
Primary practice location
113 Gainsborough SQ
Ste 400
Chesapeake, VA 23320-1713
Mailing address
113 Gainsborough SQ
Ste 400
Chesapeake, VA 23320-1713
Phone (757) 842-4499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007314256 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Chesapeake Regional Medical Group | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Surgery | Current | Accepting new patients |
| Chesapeake Regional Medical Group | Surgery | Current | Accepting new patients |
| Chesapeake Regional Medical Group | Surgery | Current | Accepting new patients |
Locations
534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621
113 Gainsborough Sq
Ste 400
Chesapeake, VA 23320
Phone (757) 436-0167
300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
155 Kingsley Ln
Ste 405
Norfolk, VA 23505
Phone (757) 278-2220
8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462
5818 Harbour View Blvd
Ste 240
Suffolk, VA 23435
Phone (757) 397-2383
5818 Harbour View Blvd
Ste 250
Suffolk, VA 23435
Phone (757) 673-5890
5838 Harbour View Blvd
Ste 270
Suffolk, VA 23435
Phone (757) 541-1050
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
Surgery
-
- Surgery Physician
- Chesapeake, VA
- NPI 1699940270
-
dba Southampton Orthopaedic and Sports Medicine Center
- Durable Medical Equipment & Medical Supplies
- Franklin, VA
- NPI 1205451028
-
dba Chesapeake Regional Urgent Care
- Urgent Care Clinic/Center
- Chesapeake, VA
- NPI 1255215133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1225093529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 GAINSBOROUGH SQ",
"address_2": "STE 400",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233201713",
"telephone_number": "757-842-4499",
"fax_number": "757-842-1447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 GAINSBOROUGH SQ",
"address_2": "STE 400",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233201713",
"telephone_number": "757-842-4499",
"fax_number": "757-842-1447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "DAVID",
"middle_name": "D.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0102201265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007314256",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.