Individual
DR. JONATHAN L. SPENCER
Active
Individual
DR. JONATHAN L. SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21675
NE
207R00000X
Internal Medicine Physician
34676
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
21675
NE
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34676
IA
207RP1001X
Pulmonary Disease Physician
Primary
21675
NE
207RP1001X
Pulmonary Disease Physician
34676
IA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
21675
NE
207RS0012X
Sleep Medicine (Internal Medicine) Physician
34676
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0554667
—
IA
05
—
10026942708
—
NE
01
—
290014936
RAILROAD MEDICARE
IA
01
—
290014936
RAILROAD MEDICARE
NE
Enumeration date
06/09/2005
Last updated
03/25/2025
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