Richard Lloyd Speicher II, PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0002394 Issued in FL

Practice address

2575 S Volusia Ave
Suite 300
Orange City, FL 32763-9135

Phone

(386) 774-0401

Fax

(386) 774-5783

NPI assigned

Aug 9, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509235200000",
    "number": "1033301403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639116",
            "telephone_number": "386-774-0401",
            "fax_number": "386-774-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 S VOLUSIA AVE",
            "address_2": "SUITE 300",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639135",
            "telephone_number": "386-774-0401",
            "fax_number": "386-774-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEICHER",
        "first_name": "RICHARD",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2017-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA0002394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Volusia Healthcare Corporation
• Southwest Volusia Healthcare Corporation
• Southwest Volusia Healthcare Corporation
• Southwest Volusia Healthcare Corporation
• Specialty Furniture Products Inc.
• David A Spellman, RMHCI, RMFTI, NCC
• Natalie Kelly Speranzo-Otero, APRN
• Eliana Jonay Spurlock
• Shea Victoria Staber, M.ED.
• Jeremy Don Steinbaum, MD

• All providers in Orange City, FL
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.