Active NPI
William A Spencer, M.D.
- Family Medicine Physician
- Oxford, MS
National Provider Identifier
1912914540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 06030
- Practice address
- 1397 Belk Blvd
Oxford, MS 38655-5301 - Phone
- (662) 236-4675
- Fax
- (662) 281-0819
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 06030 | MS | Primary |
Addresses
Primary practice location
1397 Belk Blvd
Oxford, MS 38655-5301
Mailing address
1397 Belk Blvd
Oxford, MS 38655-5301
Phone (662) 236-4675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13604 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06030 | MS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1912914540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1397 BELK BLVD",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555301",
"telephone_number": "662-236-4675",
"fax_number": "662-281-0819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1397 BELK BLVD",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555301",
"telephone_number": "662-236-4675",
"fax_number": "662-281-0819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "WILLIAM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "06030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13604",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.