JARED SPENCER MD PA – NPI #1972281855
Otolaryngology

An otolaryngologist who specializes in facial plastic surgery.

JARED SPENCER MD PA is an otolaryngologist located in FAYETTEVILLE, AR. NPPES has assigned the NPI number 1972281855 to JARED SPENCER MD PA on July 10, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YS0123X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Facial Plastic Surgery

The NPI profile was previously updated about 2 years ago on Apr 22, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JARED SPENCER MD PA below.

NPI Profile for
JARED SPENCER MD PA

NPI Number
1972281855
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JARED SPENCER MD PA
Primary location
137 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703-4974
Phone: (479) 751-7000 Fax: (479) 379-8331
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TARA PRATER
OFFICE MANAGER
Phone: (501) 580-5297
Updated
Certification Date
Apr 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YS0123X
- Otolaryngology / Facial Plastic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.