Active NPI
Robert F Spencer, M.D.
- Pain Medicine (Anesthesiology) Physician
- Concord, NH
National Provider Identifier
1477602795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 9752
- Practice address
- 130 Pembroke Rd
Ste. 250
Concord, NH 03301-5792 - Phone
- (603) 228-7160
- Fax
- (603) 228-7168
- NPI assigned
- Jan 9, 2007
- Last updated
- Jun 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 9752 | NH | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 9752 | NH |
Addresses
Primary practice location
130 Pembroke Rd
Ste. 250
Concord, NH 03301-5792
Mailing address
PO Box 2552
Concord, NH 03302-2552
Phone (603) 228-7160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30009837 | Medicaid | NH |
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 |
|---|---|---|---|
| 9752 | NH | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Pain Consultation Services, LLC | Interventional Pain Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Interventional Pain Management
- Interventional Pain Medicine Physician
- Concord, NH
- NPI 1376957217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1477602795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2552",
"city": "CONCORD",
"state": "NH",
"postal_code": "033022552",
"telephone_number": "603-228-7160",
"fax_number": "603-228-7168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 PEMBROKE RD",
"address_2": "STE. 250",
"city": "CONCORD",
"state": "NH",
"postal_code": "033015792",
"telephone_number": "603-228-7160",
"fax_number": "603-228-7168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "ROBERT",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NH",
"license": "9752",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NH",
"license": "9752",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30009837",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.