Active NPIIndividual providerSole proprietor

Spencer Ciancola

Physician Assistant in Bennington, Vermont

NPI Number1285295154
Practice location
140 Hospital Dr Ste 111, Bennington, VT 05201-5010
Fax
—
Last updated
December 26, 2021

Spencer Ciancola is a Physician Assistant based in Bennington, VT. Spencer Ciancola practices in Bennington, VT. The NPI Number for Spencer Ciancola is 1285295154 and holds a License No. 055.0031452 (VT). The current practice location address for Spencer Ciancola is 140 Hospital Dr Ste 111, Bennington, VT 05201-5010 and can be reached out via phone at 802-440-4077.

Provider Profile Details

NPI Number
1285295154
Provider Name
Spencer Ciancola
Provider Entity Type
Individual
Gender
Male
Address
140 Hospital Dr Ste 111, Bennington, VT 05201-5010
Phone Number
802-440-4077
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 21, 2019
Last Update Date
December 26, 2021
Certification Date
December 26, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Hospital Dr Ste 111
Bennington, VT 05201-5010
State
Vermont
Zip
05201-5010
Phone Number
802-440-4077
Bennington, VT 05201Get directions →

Provider Business Mailing Address Details

Address
100 Hospital Dr
Bennington, VT 05201-5004
City
Bennington
State
VT
Zip
05201-5004

License Information

License Number
055.0031452
License State
VT
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Spencer Ciancola?

The NPI number of Spencer Ciancola is 1285295154. It was assigned on June 21, 2019 and is currently active in the NPPES registry.

What is the specialty of Spencer Ciancola?

Spencer Ciancola is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 055.0031452.

Where does Spencer Ciancola practice?

The practice location is 140 Hospital Dr Ste 111, Bennington, VT 05201-5010. The office can be reached at 802-440-4077 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285295154 directly on the NPPES registry website.

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