Michael C Speck MD PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

MICHAEL C SPECK MD PA

Doing business as

Gillespie County Urology

Practice address

1892 W US Highway 290
Fredericksburg, TX 78624-6644

Phone

(830) 304-1666

Fax

(830) 304-1665

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Michael Christopher Speck, MDNPI 1881733897

Title

President

Phone

(830) 304-1666

Specialties & licenses 1

Addresses

Other names 1

• Gillespie County Urology Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• Direct secure messaging: michaelspeck@gillespie.medalliesdirect.net
• Direct secure messaging: jeremyparker@gillespie.medalliesdirect.net

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Christopher Speck, M.D.

  • Urology Physician
  • Artesia, NM
  • NPI 1881733897

  TX

  Medicare reassignment Care Compare group NPD Authorized official
• Jeremy Allen Parker, PA-C

  • Medical Physician Assistant
  • Fredericksburg, TX
  • NPI 1275762874
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1275173593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1892 W US HWY 290",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786246644",
            "telephone_number": "830-304-1666",
            "fax_number": "830-304-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1892 W US HIGHWAY 290",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786246644",
            "telephone_number": "830-304-1666",
            "fax_number": "830-304-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C SPECK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "SPECK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-304-1666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gillespie County Urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gillespie County Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Methodist Healthcare System of San Antonio LTD LLP (Breast Center at Methodist Hospital Hill Country)
• Methodist Healthcare System of San Antonio LTD LLP (Sleep Center at Methodist Hospital Hill Country)
• Methodist Healthcare System of San Antonio, LTD., L.L.P. (Methodist Hospital Hill Country)
• Pamela Sue Meyer, OT, CHT
• Mfe Healthcare and Wellness Services
• Michael G. Campbell, MD,PLLC
• Michael J Majors MD PA
• Michael L Walker MD PA
• Mid-Texas Health Care Assn., P.a.
• Mikosh Drug Company, LLC (Gail's Apothecary)

• Urology Physician in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.