Individual provider Active NPI

Leland Spencer, M.D,

  • Public Health & General Preventive Medicine Physician
  • Denton, MD
National Provider Identifier
1962682807
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
D0027046 Issued in MD
Practice address
403 S 7TH St
Denton, MD 21629-1327
Phone
(410) 479-8177
NPI assigned
Nov 8, 2007
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X D0027046 MD Primary

Addresses

Primary practice location

403 S 7TH St
Denton, MD 21629-1327

Mailing address

5428 Simpkins CT
Ellicott City, MD 21043-6579

Other practice location 1

125 S Lynchburg St
Chestertown, MD 21620-1146
Phone (410) 778-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20100119000059 MD Practitioner - Preventive MedicinePractitioner - Obstetrics/Gynecology 4486674447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: Obstetrics/Gynecology
Education
University of Maryland School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kent County Health DepartmentGroup PAC ID 9032139241, 5 clinicians

Practice addresses (Care Compare)

125 S Lynchburg St
Chestertown, MD 21620-1146
Phone 41077857833237

300 Scheeler Rd
Chestertown, MD 21620-1014
Phone 41077857833237

403 S 7TH St
Suite 218
Denton, MD 21629-1335
Phone (410) 479-8031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0027046MDMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caroline County Health Department CurrentSince Aug 15, 2014 Accepting new patients
Kent County Health Department CurrentSince Nov 7, 2009 Accepting new patients
Caroline County Health Department CurrentSince Jul 26, 2025 Accepting new patients

Locations

125 S Lynchburg St
Chestertown, MD 21620
Phone (410) 778-1350

300 Scheeler Rd
Chestertown, MD 21620
Phone (410) 778-5783

18 Denton Plz
Denton, MD 21629
Phone (410) 479-1882

403 S 7th St
Denton, MD 21629
Phone (410) 479-8000

403 S 7th St
Ste 218
Denton, MD 21629
Phone (410) 479-8030

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1962682807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 SIMPKINS CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S 7TH ST",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291327",
            "telephone_number": "410-479-8177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S Lynchburg St",
            "address_purpose": "LOCATION",
            "city": "Chestertown",
            "state": "MD",
            "postal_code": "216201146",
            "country_code": "US",
            "telephone_number": "410-778-1350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "LELAND",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MD",
            "license": "D0027046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

Verify at the official NPI Registry.