Stephen Charles Spicer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A01021575 Issued in IN

Practice address

1103 E Grace St
Rensselaer, IN 47978-3210

Phone

(219) 866-4135

Fax

(219) 866-0803

NPI assigned

Sep 20, 2005

Last updated

Jan 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1649266180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-449-2732",
            "fax_number": "765-449-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E GRACE ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479783210",
            "telephone_number": "219-866-4135",
            "fax_number": "219-866-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "STEPHEN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "A01021575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "791083372",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002919620",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219620A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheets Family Practice P.C. Inc.
• Patrick J Sheets, M.D.
• Stephanie Ann Shields, LCSW
• Denise A Snyder, LMHC
• Sonus-USA, Inc.
• St. Francis Hospital and Health Centers (Indiana Oncology Hematology Consultants)
• Robin Sue Starr, ATC
• Melinda Marie Steinke, PTA
• Patti A Steinke, PTA
• Anne Sy, DDS

• Family Medicine Physician in Rensselaer, IN
• Providers in Rensselaer, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.