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JARED R SPENCER M.D. NPI 1548465834


NPI Information

NPI: 1548465834
Provider Name: JARED R SPENCER, M.D.
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

PECOS Registration: Yes

Address:
6823 ISAAC'S ORCHARD RD
SPRINGDALE, AR
ZIP 72762
Phone: (479) 750-2080
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Jared R Spencer, M.D. is a facial plastic surgery otolaryngology in Springdale, AR with 23 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. Jared R Spencer, M.D. NPI is 1548465834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

6823 ISAAC'S ORCHARD RD
SPRINGDALE, AR
ZIP 72762
Phone: (479) 750-2080
Fax: (479) 750-2082

The NPI 1548465834 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 6/18/2007 and was last updated on 3/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YS0123XOtolaryngologyFacial Plastic SurgeryA95600CALIFORNIANo
2207YS0123XOtolaryngologyFacial Plastic Surgery37260ARIZONANo
3207YS0123XOtolaryngologyFacial Plastic SurgeryE6045ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15H535MEDICARE PINARKANSAS
2179309001MEDICAIDARKANSAS
3Z117049MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.