Individual provider Active NPI

Haven William Spencer, DO

  • Emergency Medicine Physician
  • Hyannis, MA
National Provider Identifier
1982193389
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
287099 Issued in MA
Practice address
27 Park St
Hyannis, MA 02601-5203
Phone
(508) 771-1800
NPI assigned
May 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 287099 MA Primary

Addresses

Primary practice location

27 Park St
Hyannis, MA 02601-5203

Mailing address

27 Park St
Hyannis, MA 02601-5230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210617001537 MA Practitioner - Emergency Medicine 4183975121 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New England, College of Osteo Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Cod Emergency Associates LLPGroup PAC ID 5597135301, 35 clinicians
Urgi Center Medical GroupGroup PAC ID 3476790601, 83 clinicians

Practice addresses (Care Compare)

27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800

525 Long Pond Dr
Harwich, MA 02645-1227
Phone (508) 430-3330

Hospital & facility affiliations

  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287099MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Wing Hospital Corporation CurrentSince Jun 15, 2021 Accepting new patients
Baystate Wing Hospital Corporation CurrentSince Jun 15, 2021 Accepting new patients
Baystate Franklin Medical Center CurrentSince Jun 15, 2021 Accepting new patients
Urgi Center Medical Group CurrentSince Jan 17, 2022 Accepting new patients
Cape Cod Emergency Associates LLP Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

164 High St
Greenfield, MA 01301
Phone (413) 772-0211

525 Long Pond Dr
Harwich, MA 02645
Phone (508) 430-3311

1220 Iyannough Rd
Hyannis, MA 02601
Phone (508) 862-7900

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

40 Wright St
Palmer, MA 01069
Phone (413) 284-5210

2 Jan Sebastian Dr
Ste 101
Sandwich, MA 02563
Phone (508) 833-2639

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

273 Teaticket Hwy
Teaticket, MA 02536
Phone (508) 495-8000

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1982193389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PARK ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PARK ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015203",
            "telephone_number": "508-771-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "HAVEN",
        "middle_name": "WILLIAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "287099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.