SUSAN J SPENCER PAC NPI 1235224510

NPI Information

NPI: 1235224510
Provider Name: SUSAN J SPENCER, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
7440 S 91ST ST
LINCOLN, NE
ZIP 68526
Phone: (402) 489-6555
Get Directions

Susan J Spencer, PAC is a surgical physician assistant in Lincoln, NE. Susan J Spencer, PAC NPI is 1235224510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7440 S 91ST ST
LINCOLN, NE
ZIP 68526-797
Phone: (402) 489-6555
Fax: (402) 328-3770

The enumeration date for this NPI number is 10/4/2006 and was last updated on 6/4/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		941	NEBRASKA	No
2	363AM0700X	Physician Assistant	Medical	941	NEBRASKA	No
3	363AS0400X	Physician Assistant	Surgical	941	NEBRASKA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	10026072500	MEDICAID	NEBRASKA
2	10026072600	MEDICAID	NEBRASKA
3	NA1079043	MEDICARE PIN	NEBRASKA
4	275495	MEDICARE PIN	NEBRASKA
5	970024585	MEDICARE PIN	NEBRASKA
6	NA1939015	MEDICARE PIN	NEBRASKA
7	NA1080038	MEDICARE PIN	NEBRASKA
8	P23529	MEDICARE UPIN

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

NPI Synchronization or Removal

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