Carlene Michele Spitzer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051470 Issued in PA

Practice address

326 Adams Ave
Scranton, PA 18503-1604

Phone

(570) 348-6100

Fax

(570) 969-8626

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Friendship House

  • Adolescent and Children Mental Health Clinic/Center
  • Scranton, PA
  • NPI 1952373250
  Medicare reassignment

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316162191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 SUMMIT POINTE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081028",
            "telephone_number": "570-347-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 ADAMS AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031604",
            "telephone_number": "570-348-6100",
            "fax_number": "570-969-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZER",
        "first_name": "CARLENE",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Joseph Speicher
• William Speicher
• Hannah Spence
• Nichole Anne Spencer, M.S., CCC-SLP
• Spirit of Mercy Skilled Nursing Center LLC
• Amanda Spott, M.S.
• Shannon Alexandra Springer, CRNP
• Sprint Center Inc
• Sprout Pediatric Dental
• James Spruill, MSW, LSW

• Physician Assistant in Scranton, PA
• Providers in Scranton, PA by specialty
• Physician Assistant in Pennsylvania

• 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.
• 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.