Provider Demographics
NPI:1346399763
Name:GAY, SPENCER B (MD)
Entity Type:Individual
Prefix:
First Name:SPENCER
Middle Name:B
Last Name:GAY
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:500 RAY C HUNT DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-2981
Mailing Address - Country:US
Mailing Address - Phone:434-980-6140
Mailing Address - Fax:434-972-4266
Practice Address - Street 1:UVA HOSPITAL
Practice Address - Street 2:LEE STREET, 1ST FLOOR
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0001
Practice Address - Country:US
Practice Address - Phone:434-924-2781
Practice Address - Fax:434-982-1618
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2011-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010398552085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007231148Medicaid
VAE05758Medicare UPIN
VA007231148Medicaid
VACO2270Medicare PIN