SPENCER WALTER GALE PA-C NPI 1780969360

NPI Information

NPI: 1780969360
Provider Name: SPENCER WALTER GALE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
400 MATTHEW ST
SUITE 401
MARIETTA, OH
ZIP 45750
Phone: (740) 374-2252
Get Directions

Spencer Walter Gale, PA-C is a medical physician assistant in Marietta, OH. Spencer Walter Gale, PA-C NPI is 1780969360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 MATTHEW ST
SUITE 401
MARIETTA, OH
ZIP 45750-644
Phone: (740) 374-2252
Fax: (740) 374-4974

The NPI 1780969360 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 enumeration date for this NPI number is 10/14/2011 and was last updated on 2/27/2017.

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	363AM0700X	Physician Assistant	Medical	50.003955	OHIO	Yes
2	363AM0700X	Physician Assistant	Medical	01750	WEST VIRGINIA	No
3	363AM0700X	Physician Assistant	Medical	5052	ARIZONA	No

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	Other Provider Identifier Issuer
1	H248171	MEDICARE PIN	OHIO
2	P01515012	OTHER	WEST VIRGINIA	RAILROAD MEDICARE - MHCPI
3	0091459	MEDICAID	OHIO
4	H248170	MEDICARE PIN	OHIO

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: 5/5/2024

NPI Synchronization or Removal

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