Caldwell Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-004380 Issued in OH

Legal business name

CALDWELL CLINIC

Practice address

304 Main Street
Caldwell, OH 43724-1322

Phone

(740) 732-2339

NPI assigned

Dec 27, 2007

Last updated

Dec 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Alan Spencer, D.O.NPI 1346252855

Title

Proprietor

Phone

(740) 732-2339

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Spencer, DO

  • Family Medicine Physician
  • Caldwell, OH
  • NPI 1346252855
  NPD (past) Authorized official

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1497939425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MAIN STREET",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437241322",
            "telephone_number": "740-732-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN STREET",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437241322",
            "telephone_number": "740-732-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "740-732-2339",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-004380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Scott Braden, RPH
• Yvonne Renee Braden, L.P.N.
• Amy Jo Brokaw, LPN
• Stephanie Bryan
• Roxann Lynn Bryant, AAS, QMHS
• Caldwell Exempted Village School District
• Savanah Clipner, AAS,QMHS
• Kylee Danielle Cobb
• Jennifer Lynn Croucher
• Billye Dailey, LPCC-S

• Family Medicine Physician in Caldwell, OH
• Providers in Caldwell, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.