Jim E Speed, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

DO123 Issued in AL

Practice address

165 Whitesport Dr SW
Suite 1
Huntsville, AL 35801-7426

Phone

(256) 881-4357

Fax

(256) 881-4389

NPI assigned

Aug 12, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1053313668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WHITESPORT DR SW",
            "address_2": "SUITE 1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017426",
            "telephone_number": "256-881-4357",
            "fax_number": "256-881-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WHITESPORT DR SW",
            "address_2": "SUITE 1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017426",
            "telephone_number": "256-881-4357",
            "fax_number": "256-881-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEED",
        "first_name": "JIM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "DO123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000014824",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amy Nicole Spencer, NP
• Brooklyn Lee Spencer, PHARMD
• Jasmine Spencer, OD
• Richard V Spera Jr., MD

• Obstetrics & Gynecology Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.