Spencer Dane Uetz, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

21128 Issued in ND

Practice address

4440 S. Washington St.
Grand Forks, ND 58201

Phone

(701) 732-7000

Fax

(217) 545-6544

NPI assigned

Jun 8, 2019

Sex

Male

Sole proprietor

No

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

Enrolled in ND

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

Specialty

Otolaryngology

Education

University of North Dakota School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altru Health SystemGroup PAC ID 1355251604, 675 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Altru Hospital Hospital, Grand Forks, ND, CCN 350019
• CHI St Alexius Health Devils Lake Hospital, Devils Lake, ND, CCN 351333
• Riverview Hospital Hospital, Crookston, MN, CCN 241320

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Altru Health System

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1043309552
  Medicare reassignment Care Compare group NPD
• Altru Health System

  • Ambulance
  • Grand Forks, ND
  • NPI 1114485315
  NPD
• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  Care Compare affiliation
• Mercy Hospital of Devils Lake

  • Critical Access Hospital
  • Devils Lake, ND
  • NPI 1659343093
  Care Compare affiliation
• Riverview Healthcare Association

  • Institutional Pharmacy
  • Crookston, MN
  • NPI 1083763650

  Hospital

  Care Compare affiliation
• Riverview Healthcare Association

  • Critical Access Hospital
  • Crookston, MN
  • NPI 1477525566
  Care Compare affiliation
• Riverview Healthcare Association

  • Rural Health Clinic/Center
  • Crookston, MN
  • NPI 1487944898

  Hospital

  Care Compare affiliation
• Riverview Healthcare Association

  • Physical Therapy Clinic/Center
  • Fertile, MN
  • NPI 1659045987

  Hospital

  Care Compare affiliation
• Riverview Healthcare Association

  • Multi-Specialty Clinic/Center
  • Thief River Falls, MN
  • NPI 1740473800

  Hospital

  Care Compare affiliation
• Riverview Healthcare Association

  • Rural Health Clinic/Center
  • Fertile, MN
  • NPI 1750671186

  Hospital

  Care Compare affiliation
• Riverview Healthcare Association

  • Multi-Specialty Clinic/Center
  • East Grand Forks, MN
  • NPI 1811918436

  Hospital

  Care Compare affiliation
• Riverview Healthcare Association

  • Rural Health Clinic/Center
  • Red Lake Falls, MN
  • NPI 1841581212

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1871152397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13780",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58208",
            "telephone_number": "701-780-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 S. WASHINGTON ST.",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-732-7000",
            "fax_number": "217-545-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UETZ",
        "first_name": "SPENCER",
        "middle_name": "DANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-08",
        "last_updated": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "125074211",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ND",
            "license": "21128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D. Tyler
• Kevin Tyler, DO
• Shirley K. Tyler, PH.D.
• Elizabeth Ann Tyree, RN, PNP
• Austen Tyryfter
• Matthew James Uhrich, RPH
• Erin Nicole Ulmer, OTR/L
• Mariah Uluave, APRN, FNP-C
• Paige Elizabeth Ulvog, MOT, OTR/L
• Heidi Nicole Undlin Stevens, DDS

• Otolaryngology Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Otolaryngology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.