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

Spencer Shastid, DO

Individual provider Hospitalist Physician · NPI 1093336695

Spencer Shastid, DO is an Internal Medicine in Tyler, Texas. Qualified in 2023, 3 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2737 S Broadway Ave
Tyler, TX 75701-5445
Phone: (903) 592-6000
Fax: (903) 592-3224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence U1378 (TX)
Hospitalist Physician Taxonomy 208M00000X · Licence U1378 (TX)

Record details

NPI number1093336695
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 5, 2020
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing addressPo Box 6971, Lincoln, NE 68506-0971

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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