Spencer Robert Anderson, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

35.154811 Issued in OH

Practice address

580 Lincoln Park Blvd Ste 225
Kettering, OH 45429-3493

Phone

(937) 949-8457

Fax

(937) 949-8695

NPI assigned

Apr 25, 2017

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 GA, OH2 enrollments

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 2

Specialty

Plastic and Reconstructive Surgery

Education

Mercer University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbus Plastic Surgery, P.C. 2 clinicians

Advanced Breast and Cosmetic Surgery Inc 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
• Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
• St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
• Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064

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.

• Advanced Breast & Cosmetic Surgery Inc

  • Plastic Surgery Physician
  • Kettering, OH
  • NPI 1811098452

  OH, Plastic Surgery

  Medicare reassignment Care Compare group NPD
• Columbus Plastic Surgery, P.C.

  • Specialist
  • Columbus, GA
  • NPI 1588786453

  GA

  Medicare reassignment Care Compare group NPD
• J&W Surgical Services LLC

  • Plastic and Reconstructive Surgery Physician
  • Kettering, OH
  • NPI 1194330084
  NPD
• Ambulatory Plastic Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Columbus, GA
  • NPI 1679599062
  NPD (past)
• Anesthesia Management Services, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Columbus, GA
  • NPI 1679525661
  NPD (past)

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

• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354

  Hospital

  Care Compare affiliation
• Caresouth HHA Holdings of Columbus, LLC

  • Home Health Agency
  • Columbus, GA
  • NPI 1750369245
  Care Compare affiliation
• Hughston Hospital, Inc.

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1407082308

  Hospital

  Care Compare affiliation
• St Francis Health LLC

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1033228168

  Hospital

  Care Compare affiliation
• The Medical Center Inc

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1255401519

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1982139176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 LINCOLN PARK BLVD STE 225",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293493",
            "telephone_number": "937-949-8457",
            "fax_number": "937-949-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 LINCOLN PARK BLVD STE 225",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293493",
            "telephone_number": "937-949-8457",
            "fax_number": "937-949-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SPENCER",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "95455",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35.154811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anca Udrea MD, LTD
• Anchor & Arrow Therapy and Wellness for Kids
• Gary L Anderson, D.O.
• Lilly T Anderson
• Shane Taylor Anderson
• Anesthesia Pearls, LLC
• Anesthesiology Services Network
• Anoopa Patel LLC
• Bridgette Nicole Antolin, PA-C
• Joan Apapa, CRNA

• All providers in Kettering, OH
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.