Spencer Nadolsky, DO

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

License

H0079510 Issued in MD

Practice address

430 E 8TH St # 5134
Holland, MI 49423-3751

Phone

(415) 625-1768

Fax

(855) 259-7555

NPI assigned

Jun 17, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1780979658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 8TH ST # 5134",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233751",
            "telephone_number": "415-625-1768",
            "fax_number": "855-259-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E 8TH ST # 5134",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233751",
            "telephone_number": "415-625-1768",
            "fax_number": "855-259-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADOLSKY",
        "first_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "MD",
            "license": "H0079510",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116023930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myeyedr Optometry of Michigan, LLC
• Myeyedr Optometry of Michigan, LLC
• Stephen David NA
• Nadolsky PLC
• Karl Nadolsky Jr., DO
• Jill Nagelkirk, LLPC
• Mark Nania, M.A. L.L.C.
• Fernanda Narvaez Sterling
• Nathan B Poel DDS PLLC
• Kristen Beth Nauta, LMSW

• Obesity Medicine (Family Medicine) Physician in Holland, MI
• Providers in Holland, MI by specialty
• Obesity Medicine (Family Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.