Spencer H. Anderson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

051901 Issued in OH

Practice address

4853 Galaxy Pkwy
Suite I
Cleveland, OH 44128-5973

Phone

(216) 831-9786

Fax

(216) 831-2425

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• DRS. Hill & Thomas Co.

  dba Southside Imaging Diagnostic Center

  • Radiology Clinic/Center
  • Medina, OH
  • NPI 1265544662
  NPD (past)
• DRS. Hill & Thomas Co.

  • Diagnostic Radiology Physician
  • Willoughby, OH
  • NPI 1568574952
  NPD (past)
• Eastside MRI Limited Partnership

  dba Eastside Imaging Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Willoughby Hills, OH
  • NPI 1083622898
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1316016520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4853 GALAXY PKWY",
            "address_2": "SUITE I",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285973",
            "telephone_number": "216-831-9786",
            "fax_number": "216-831-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4853 GALAXY PKWY",
            "address_2": "SUITE I",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285973",
            "telephone_number": "216-831-9786",
            "fax_number": "216-831-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SPENCER",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "051901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "816782",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rashell Anderson
• Roberta L Anderson, CNP
• Sabrina Anderson
• Sarah Lynn Anderson, PSY.D.
• Sheres Anderson, CDCA
• Sydni Amber Anderson, MD
• Tanika P Anderson
• Tenisha Anderson, QMHS
• Thomas E Anderson, MD
• Tiera Lanise Anderson

• Diagnostic Radiology Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.