Active NPI
Steven William Spencer, CRNA
- Anesthesiologist Assistant
- Charleston, WV
National Provider Identifier
1245314764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 53976
- Practice address
- 501 Morris St
Charleston, WV 25301 - Phone
- (304) 388-6220
- Fax
- (304) 388-3604
- NPI assigned
- Oct 24, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 50867 | WV | |
| Anesthesiologist Assistant | 367H00000X | 53976 | WV | Primary |
Addresses
Primary practice location
501 Morris St
Charleston, WV 25301
Mailing address
204 Willow St
Elkview, WV 25071
Phone (304) 421-4466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2605317000 | Medicaid | WV |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50867 | WV | MD | Registered Nurse |
| 53976 | WV | MD | Anesthesiologist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1245314764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 WILLOW ST",
"city": "ELKVIEW",
"state": "WV",
"postal_code": "25071",
"telephone_number": "304-421-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MORRIS ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25301",
"telephone_number": "304-388-6220",
"fax_number": "304-388-3604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "STEVEN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "50867",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "WV",
"license": "53976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2605317000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.