Active NPI
Christopher B Spencer, M.D.
- Anesthesiology Physician
- Guilford, CT
National Provider Identifier
1538143797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 039597
- Practice address
- 111 Goose LN
Guilford, CT 06437-5101 - Phone
- (203) 453-7100
- Fax
- (215) 957-2875
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 039597 | CT | Primary |
Addresses
Primary practice location
111 Goose LN
Guilford, CT 06437-5101
Mailing address
PO Box 417297
Boston, MA 02241-7297
Phone (866) 623-3869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001395971 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- State University of New York Downstate Medical Center, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Boston Post Rd
BLDG 1
Guilford, CT 06437-2770
Phone (203) 453-7100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039597 | CT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Endoscopy Center of Connecticut, LLC | Current | Accepting new patients | |
| Endoscopy Center of Connecticut, LLC | Current | Accepting new patients | |
| Greater Connecticut Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Northeast Medical Group, Inc. | Past | Accepting new patients |
Locations
425 Post Rd
Fairfield, CT 06824
Phone (203) 255-4545
800 Boston Post Rd
Bldg 1
Guilford, CT 06437
Phone (203) 453-7100
2200 Whitney Ave
Ste 380
Hamden, CT 06518
Phone (203) 281-3636
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.
-
- Anesthesiology Physician
- Guilford, CT
- NPI 1891388146
-
- Endoscopy Clinic/Center
- Hamden, CT
- NPI 1386757854
-
- Anesthesiology Physician
- Fairfield, CT
- NPI 1730837576
-
- Endoscopy Clinic/Center
- Guilford, CT
- NPI 1326131418
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1538143797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 417297",
"city": "BOSTON",
"state": "MA",
"postal_code": "022417297",
"telephone_number": "866-623-3869",
"fax_number": "302-733-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 GOOSE LN",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064375101",
"telephone_number": "203-453-7100",
"fax_number": "215-957-2875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "CHRISTOPHER",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "039597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001395971",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.