Active NPI
Macie Rose Spencer, DO
- Pediatrics Physician
- Des Moines, IA
National Provider Identifier
1457193526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R-13235
- Practice address
- 1415 Woodland Ave Ste 140
Des Moines, IA 50309-3203 - Phone
- (618) 409-7284
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R-13235 | IA | Primary |
Addresses
Primary practice location
1415 Woodland Ave Ste 140
Des Moines, IA 50309-3203
Mailing address
1415 Woodland Ave Ste 140
Des Moines, IA 50309-3203
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-13235 | IA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Interoperability endpoints
- mspencer1073203@direct.unitypoint.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1457193526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 WOODLAND AVE STE 140",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503093203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 WOODLAND AVE STE 140",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503093203",
"telephone_number": "618-409-7284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "MACIE",
"middle_name": "ROSE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "R-13235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.