Physician Compare National (NPI:1134157340)

HEALTHCARE PROVIDER: CAPLE A SPENCE MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1134157340
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527964063
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090302000624
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SPENCE
	Individual professional last name
Provider First Name	CAPLE
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8121 NATIONAL AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 210
	Group Practice or individual's line 2 address
City	MIDWEST CITY
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	731107570
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	370234
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OKLAHOMA HEART HOSPITAL SOUTH, LLC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	370215
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OKLAHOMA HEART HOSPITAL, LLC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	370225
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SUMMIT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y