DR. STEPHEN E SPENCER SR. MD
NPI 1376548230
Internal Medicine in Boise, ID

Q: What is Stephen Spencer's NPI number?

The NPI number for Stephen Spencer is 1376548230. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is Stephen Spencer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Spencer was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 16, 2005

6565 W EMERALD ST, BOISE, ID 83704(208) 377-5055(208) 377-5335 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Stephen E Spencer Sr. Md NPPES

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

DR. STEPHEN E SPENCER SR. MD (NPI 1376548230) is an individual internal medicine provider in Boise, Idaho, licensed in Idaho (M3666) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1376548230

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. STEPHEN E SPENCER SR.Credential: MD

Location Address6565 W EMERALD STBoise, ID 83704-8737

Mailing Address6565 W Emerald StBoise, ID 83704-8737 · (208) 377-5055 · Fax (208) 377-5335

Phone(208) 377-5055

Fax(208) 377-5335

Sole ProprietorNo

Enumeration DateJune 16, 2005

Last NPPES UpdateOctober 5, 2012

✔ NPI 1376548230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in ID · M3666

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

6565 W EMERALD ST, Boise, ID 83704

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Other Identifiers 3

Medicaid002762400ID

Medicare ID-Type Unspecified1111756ID

Medicare UPINC36849ID

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.

VICTORIA L SLICHTER

Social Worker