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DR. SPENCER SAGE HEATH DO
NPI 1215677455
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since March 29, 2022PECOS Enrolled
1575 S MAIN ST, FORT WORTH, TX 76104(817) 702-8828 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Spencer Sage Heath Do NPPES

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

DR. SPENCER SAGE HEATH DO (NPI 1215677455) is an individual student in an organized health care education/training program in Fort Worth, Texas, licensed in Texas (V3319) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215677455
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SPENCER SAGE HEATHCredential: DO
Location Address1575 S MAIN STFort Worth, TX 76104-4901
Mailing Address4120 Tupelo TrlFort Worth, TX 76244-6929 · (682) 553-3536
Phone(817) 702-8828
Sole ProprietorNo
Enumeration DateMarch 29, 2022
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1215677455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · V3319
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 ListedEmergency MedicineTaxonomy 207P00000X · License V3319 (TX)
1575 S MAIN ST, Fort Worth, TX 76104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Spencer Sage Heath Do 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 16

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

BHARTI RUGNATH CHAUDHARI D.O.
Emergency Medicine
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (614) 544-2780
MR. HUNTER PRICE LANGLEY FNP - BC
Nurse Practitioner (Family)
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-7895
JESSICA SAINT PA-C
Physician Assistant
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-3431
KRYSTINA DAVIS
Registered Nurse
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-3431
RYNE BARKER JOHNSON FNP-C
Nurse Practitioner (Family)
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-2407
DR. FERRAN ROS D.O.
Emergency Medicine
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 921-3431
DR. SRINIVAS REDDY PULI M.D
Internal Medicine (Gastroenterology)
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-3431
PRISCILLA LYNN KENYON BSN, RN
Registered Nurse (Emergency)
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-7263

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 Heath's NPI number?

The NPI number for Spencer Heath is 1215677455. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Spencer Heath located?

Spencer Heath practices at 1575 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-8828.

What is Spencer Heath'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 Heath enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Spencer Heath was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.