Scott Alan Spencer, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36-00-2444-S Issued in OH

Practice address

7000 Euclid Ave
Suite 101
Cleveland, OH 44103-4014

Phone

(216) 231-5612

NPI assigned

Jun 22, 2005

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 5

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ksu Foot and Ankle ClinicGroup PAC ID 1254588684, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.spencer.1@14723.direct.athenahealth.com
• Direct secure messaging: sspencer37850@ehrdirect.uhhospitals.org

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.

• Ksu Foot & Ankle Clinic

  • Podiatrist
  • Independence, OH
  • NPI 1265793111
  Medicare reassignment Care Compare group NPD
• Ksu Foot & Ankle Clinic

  • Podiatrist
  • Cleveland, OH
  • NPI 1730441254
  NPD
• Podiatry Assoc of the Ohio College of Podiatric Medicine

  • Foot & Ankle Surgery Podiatrist
  • Beachwood, OH
  • NPI 1255402442
  NPD
• Mills Medical Practices, LLC

  • Primary Care Clinic/Center
  • Beachwood, OH
  • NPI 1477701969
  NPD (past)
• Mills Medical Practices, LLC

  • Primary Care Clinic/Center
  • Abingdon, VA
  • NPI 1841920287
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1770589004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 ROCKSIDE WOODS BLVD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312330",
            "telephone_number": "216-231-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 EUCLID AVE",
            "address_2": "SUITE 101",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034014",
            "telephone_number": "216-231-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-00-2444-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP BFAC",
            "identifier": "CI 5538",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0935322",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE BFAC",
            "identifier": "480017770",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP CFAC",
            "identifier": "CH 5179",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "480031326",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucas Scott Spencer
• Nadesha Rosemara Spencer
• Renisha Delia Spencer
• Robert L Spencer, SOCIAL WORKER MSSA
• Ronnetta Spencer, LSW
• Tamika Spencer, LPCC
• Tuwan Spencer
• Tyronda Spencer
• Dominick Spera, RBT
• Howard E. Sperber, D.D.S.

• Podiatrist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.

Verify at the official NPI Registry.