Individual provider Active NPI

Debbie Patricia Spencer, MD

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1679569966
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME92880 Issued in FL
Practice address
4503 N 22ND St
Tampa, FL 33610-6201
Phone
(813) 684-2229
Fax
(813) 413-8549
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA08218100 NJ
Obstetrics & Gynecology Physician 207V00000X L3487 TX
Obstetrics & Gynecology Physician 207V00000X ME92880 FL Primary

Addresses

Primary practice location

4503 N 22ND St
Tampa, FL 33610-6201

Mailing address

4503 N 22ND St
Tampa, FL 33610-6201
Phone (813) 684-2229

Other identifiers 1

IdentifierTypeStateIssuer
272594100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050730000033 FL Practitioner - Obstetrics/Gynecology 9830127943 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08218100NJMDObstetrics & Gynecology Physician
L3487TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Obstetrics & Gynecology CurrentSince Jan 1, 2021 Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology PastSince Mar 11, 2025 Accepting new patients
Central Florida Health Care, Inc Past Accepting new patients
Central Florida Health Care Inc Obstetrics & Gynecology Past Accepting new patients

Locations

401 Oakfield Dr
Brandon, FL 33511
Phone (813) 467-4725

505 Oakfield Dr
Brandon, FL 33511
Phone (813) 676-2273

4503 N 22nd St
Tampa, FL 33610
Phone (813) 738-6684

1513 W Busch Blvd
Tampa, FL 33612
Phone (813) 738-6683

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Organizations & group practices 4

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1679569966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336106201",
            "telephone_number": "813-684-2229",
            "fax_number": "813-413-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336106201",
            "telephone_number": "813-684-2229",
            "fax_number": "813-413-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DEBBIE",
        "middle_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08218100",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L3487",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME92880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272594100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.