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SPENCER PHILLIPS PHARMD, MPH
NPI 1104472182
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since August 14, 2019PECOS Enrolled
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226(414) 955-8296 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 11, 2024, Aug 14, 2019 (2 updates tracked since 2019).

About Spencer Phillips Pharmd, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPENCER PHILLIPS PHARMD, MPH (NPI 1104472182) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104472182
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSPENCER PHILLIPSCredential: PHARMD, MPH
Location Address8701 WATERTOWN PLANK RDMilwaukee, WI 53226-3548
Mailing Address8701 Watertown Plank RdMilwaukee, WI 53226-3548 · (585) 472-1351
Phone(414) 955-8296
Sole ProprietorNo
Enumeration DateAugust 14, 2019
Last NPPES UpdateApril 11, 20242 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1104472182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPharmacistTaxonomy 183500000X · License PS59615 (FL)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 0000000000 (CO)
8701 WATERTOWN PLANK RD, Milwaukee, WI 53226
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15817 E Henrietta RdRush, NY 14543-9793 · Phone (585) 472-1351
Location 2791 Chambers RdAurora, CO 80011-7112 · Phone (303) 617-2100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spencer Phillips Pharmd, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEA JARRETT
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4575
SARAH PATRICIA ERPENBECK
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-0805
JAKE HILL
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-8576
MADELINE MASTERSON MD
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
WAUWATOSA, WI 53226
Milwaukee County (414) 955-4575
HUNTER D'ACQUISTO
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8296
OSAYD S BUIRAT DO
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8296
DAKOTA VAUGHAN MD
Internal Medicine (Sleep Medicine)
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-0437
ALICE YOONJAE LEE MD
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-1833

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Phillips's NPI number?

The NPI number for Spencer Phillips is 1104472182. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Where is Spencer Phillips located?

Spencer Phillips practices at 8701 Watertown Plank Rd, Milwaukee, WI 53226. The listed phone number is (414) 955-8296.

What is Spencer Phillips's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Spencer Phillips enrolled in Medicare?

Yes. Spencer Phillips is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Spencer Phillips was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.