Jared Spencer MD PA

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

JARED SPENCER MD PA

Practice address

137 W Van Asche Loop
Fayetteville, AR 72703-4974

Phone

(479) 751-7000

Fax

(479) 379-8331

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Tara Prater

Title

Office Manager

Phone

(501) 580-5297

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1972281855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 W VAN ASCHE LOOP",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034974",
            "telephone_number": "479-751-7000",
            "fax_number": "479-379-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W VAN ASCHE LOOP",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034974",
            "telephone_number": "479-751-7000",
            "fax_number": "479-379-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED SPENCER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "PRATER",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-580-5297"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Deanelle Jamison-Casas, M.S., C.C.C, SLP
• Jamy Hunter, PLLC
• Beth Janda, PLMSW
• Janissa D Jackson PHD PLLC
• Rachel Jarchow, LMSW
• Chris Jasper
• JB Hays, DDS, PA
• Logan Jean, PHARM.D.
• Addison Noel Jeane
• John R Jefferson, PT

• Facial Plastic Surgery Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Facial Plastic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.