NPIMap

Individual provider Active NPI

Steven Walter Spence, MD

  • Internal Medicine Physician
  • Marianna, FL
National Provider Identifier
1528056223
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
FLME0079376 Issued in FL
Practice address
4318 5TH Ave
Marianna, FL 32446-2182
Phone
(850) 526-5300
Fax
(850) 482-5021
NPI assigned
Oct 7, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X FLME0079376 FL Primary

Addresses

Primary practice location

4318 5TH Ave
Marianna, FL 32446-2182

Mailing address

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061019000151 FL Practitioner - Internal Medicine 9234135039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Florida College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians

Practice addresses (Care Compare)

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
FLME0079376FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ER Physician Group at Jackson Hospital CurrentSince Jul 1, 2006 Accepting new patients

Locations

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

4318 5th Ave
Marianna, FL 32446
Phone (850) 209-8831

Interoperability endpoints

  • Direct secure messaging: stevenspence@jh.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1528056223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HOSPITAL DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461917",
            "telephone_number": "850-526-5300",
            "fax_number": "850-482-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 5TH AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462182",
            "telephone_number": "850-526-5300",
            "fax_number": "850-482-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "STEVEN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2023-03-07",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "FLME0079376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.