Martha L. Spencer, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

27422 Issued in MN

Practice address

3800 Park Nicolett Blvd.
Pediatric Endocrinology
St. Louis Park, MN 55416-2699

Phone

(952) 993-3900

Fax

(952) 993-1761

NPI assigned

Dec 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1750368247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 PARK NICOLETT BLVD.",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "554162699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 PARK NICOLETT BLVD.",
            "address_2": "PEDIATRIC ENDOCRINOLOGY",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "554162699",
            "telephone_number": "952-993-3900",
            "fax_number": "952-993-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "MARTHA",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MN",
            "license": "27422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raelyn Spears
• Wayne T Spears, MD
• Spectacle Shoppe Inc.
• Larisa Sotinsky Speetzen, M.D.
• Christina Seifert Spencer, MD
• Michael James Spencer, DDS
• Paul David Spilde, PT
• Teri K Spilde, PT
• Megan Spires, LICSW
• Sarah Elizabeth Spitzmiller, LGSW

• Pediatric Endocrinology Physician in St. Louis Park, MN
• Providers in St. Louis Park, MN by specialty
• Pediatric Endocrinology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.