Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Scott Spicer, MD

Individual provider Pediatrics Physician · NPI 1265690556

Dr. Scott Spicer, MD is a Pediatrics Physician in Gouverneur, New York. Licensed in New York and Vermont. Registered with an NPI since 2008.

Licensed in
NY, VT
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

77 W Barney St
Gouverneur, NY 13642-1040
Phone: (315) 287-4440
Fax: (315) 287-1858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 250464 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 042.0013605 (VT)

Record details

NPI number1265690556
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2008
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address4 Commerce Ln, Canton, NY 13617-3739

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