Organization Active NPI

Gary G. Spencer, MD, LLC

  • Family Medicine Physician
  • Hopkinsville, KY
National Provider Identifier
1881716520
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GARY G. SPENCER, MD, LLC
Practice address
1602B Canton St
Hopkinsville, KY 42240-1924
Phone
(270) 885-0953
Fax
(270) 886-5072
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary G Spencer, MDNPI 1740282714
Title
Owner
Phone
(270) 885-0953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1602B Canton St
Hopkinsville, KY 42240-1924

Mailing address

1602B Canton St
Hopkinsville, KY 42240-1924
Phone (270) 885-0953

National Provider Directory

National Provider Directory

Locations

1602B Canton St
Hopkinsville, KY 42240
Phone (270) 885-0953

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881716520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602B CANTON ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401924",
            "telephone_number": "270-885-0953",
            "fax_number": "270-886-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602B CANTON ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401924",
            "telephone_number": "270-885-0953",
            "fax_number": "270-886-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY G. SPENCER, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-885-0953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.