Scott Spicer, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

250464 Issued in NY

Practice address

77 W Barney St
Gouverneur, NY 13642-1040

Phone

(315) 287-4440

Fax

(315) 287-1858

NPI assigned

May 23, 2008

Last updated

Mar 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• United Cerebral Palsy Association of the North Country, Inc.

  dba Community Health Center of the North Country

  • Federally Qualified Health Center (FQHC)
  • Canton, NY
  • NPI 1467432765
  Medicare reassignment NPD
• The Richford Health Center Inc

  dba Swanton Health Center

  • Family Medicine Physician
  • Swanton, VT
  • NPI 1003803297
  Medicare reassignment NPD
• The Richford Health Center Inc

  dba Fairfax Health Center

  • Federally Qualified Health Center (FQHC)
  • Fairfax, VT
  • NPI 1164971495
  NPD
• The Richford Health Center Inc

  dba NOTCH Primary Care

  • Federally Qualified Health Center (FQHC)
  • Saint Albans, VT
  • NPI 1306592613
  NPD
• The Richford Health Center Inc

  • Family Medicine Physician
  • Alburg, VT
  • NPI 1407843543
  NPD (past)

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1265690556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COMMERCE LN",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136173739",
            "telephone_number": "315-386-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W BARNEY ST",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421040",
            "telephone_number": "315-287-4440",
            "fax_number": "315-287-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "042.0013605",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "250464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Anne Shampine, R.N.
• Thomas Conrad Sharrow, R.PH.
• Diane Shippee
• Lindsay R Shippee, LPN
• Jessica M Silberg, LMSW
• Kelsey L Spilman, LMSW
• St. Lawrence Psychiatric Center
• St. Lawrence Psychiatric Center
• Cynthia Marie Stone, LPN
• Valerie M Storie, PT

• Pediatrics Physician in Gouverneur, NY
• Providers in Gouverneur, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.

Verify at the official NPI Registry.