Individual provider Active NPI

Christopher B Spencer, M.D.

  • Anesthesiology Physician
  • Guilford, CT
National Provider Identifier
1538143797
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
039597 Issued in CT
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

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001395971MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109000881 CT Practitioner - Anesthesiology 3678536711 Reassigns benefits to 3 organizations

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
New England Anesthesia Associates LLCGroup PAC ID 6901215979, 11 clinicians

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

LicenseStateTypeSpecialty
039597CTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New England Anesthesia Associates, LLC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Jan 15, 2021 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Jan 15, 2021 Accepting new patients
Greater Connecticut Anesthesia Associates, LLC Anesthesiology CurrentSince Mar 7, 2022 Accepting new patients
Northeast Medical Group, Inc. PastSince Feb 1, 2019 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.

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

Verify at the official NPI Registry.