Active NPI
Mary L Spencer, A.A.
- Anesthesiologist Assistant
- Middleburg Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 67.000138
- Practice address
- 18697 Bagley Rd
Middleburg Heights, OH 44130-3417 - Phone
- (440) 816-6246
- Fax
- (440) 816-6263
- NPI assigned
- Aug 12, 2008
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 67.000138 | OH | Primary |
Addresses
Primary practice location
18697 Bagley Rd
Middleburg Heights, OH 44130-3417
Mailing address
18697 Bagley Rd
Middleburg Heights, OH 44130-3417
Phone (440) 816-6246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2946370 | Medicaid | OH |
Other names 1
- Miss Mary L Marsh-Spencer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18697 Bagley Rd
Middlebrg HTS, OH 44130-3417
Phone (440) 816-8000
Hospital & facility affiliations
- Southwest General Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.06 of 100
- Quality
- 63.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.3
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.79 of 100
- Quality
- 71.01
- Improvement activities
- 40
- Cost
- 82.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest General Medical Group Inc | Current | Accepting new patients | |
| Southwest General Medical Group Inc | Current | Accepting new patients | |
| Ohio Anesthesia Group, Inc | Current | Accepting new patients | |
| Southwest General Medical Group, Inc. | Current | Accepting new patients | |
| Southwest Anesthesiology Group, Inc | Anesthesiologist Assistant | Past | Accepting new patients |
Locations
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
4665 Douglas Cir NW
Ste 100
Canton, OH 44718
Phone (330) 499-5700
5959 Monclova Rd
Maumee, OH 43537
Phone (419) 251-3740
15345 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 743-8000
7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
19250 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 260-9970
36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1134239676
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
-
- Durable Medical Equipment & Medical Supplies
- Middleburg HTS, OH
- NPI 1588393979
-
- Psychiatry Physician
- Cleveland, OH
- NPI 1588713341
-
- Anesthesiologist Assistant
- Middleburg Heights, OH
- NPI 1609817485
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1154353993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1346496148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18697 BAGLEY RD",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441303417",
"telephone_number": "440-816-6246",
"fax_number": "440-816-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18697 BAGLEY RD",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441303417",
"telephone_number": "440-816-6246",
"fax_number": "440-816-6263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "MARY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "A.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "OH",
"license": "67.000138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2946370",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "MARSH-SPENCER",
"middle_name": "L",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Middleburg Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.