Active NPI
Samantha Spencer, MD
- Emergency Medicine Physician
- Elk Grove, IL
National Provider Identifier
1306804554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Practice address
- 800 Bisterfield Road
Alexian Brothers Medical Center
Elk Grove, IL 60007 - Phone
- (847) 437-5500
- Fax
- (630) 734-1560
- NPI assigned
- May 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | IL | Primary |
Addresses
Primary practice location
800 Bisterfield Road
Alexian Brothers Medical Center
Elk Grove, IL 60007
Mailing address
PO Box 87904
Mea Elk Grove LLC Dep 2049
Carol Stream, IL 60188
Phone (630) 734-0200
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036113426 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Emergency Associates-Munster, LLC | Emergency Medicine | Past | Accepting new patients |
| Hoopeston Emergency Medicine Specialists, LTD. | Emergency Medicine | Past | Accepting new patients |
| Epmg of Illinois LLC | Emergency Medicine | Past | Accepting new patients |
| Mea Elk Grove LLC | Emergency Medicine | Past | Accepting new patients |
| Doctors for Emergency Service | Emergency Medicine | Past | Accepting new patients |
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.
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- Emergency Medicine Physician
- Hoopeston, IL
- NPI 1316965197
-
- Emergency Medicine Physician
- Elk Grove, IL
- NPI 1578556841
-
- Emergency Medicine Physician
- Newark, DE
- NPI 1750369674
-
- Emergency Medicine Physician
- Munster, IN
- NPI 1205166865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306804554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87904",
"address_2": "MEA ELK GROVE LLC DEP 2049",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "60188",
"telephone_number": "630-734-0200",
"fax_number": "630-734-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BISTERFIELD ROAD",
"address_2": "ALEXIAN BROTHERS MEDICAL CENTER",
"city": "ELK GROVE",
"state": "IL",
"postal_code": "60007",
"telephone_number": "847-437-5500",
"fax_number": "630-734-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "SAMANTHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.