NPIMap

Individual provider Active NPI

Julie M Speicher, MD

  • Internal Medicine Physician
  • Dunmore, PA
National Provider Identifier
1275501264
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD040323E Issued in PA
Practice address
521 Ash St
Suite 1
Dunmore, PA 18509-2909
Phone
(570) 344-2244
Fax
(570) 344-1226
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD040323E PA Primary

Addresses

Primary practice location

521 Ash St
Suite 1
Dunmore, PA 18509-2909

Mailing address

521 Ash St
Suite 1
Dunmore, PA 18509-2909
Phone (570) 344-2244

Other identifiers 1

IdentifierTypeStateIssuer
001198454MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julie.speicher.1@21771.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317000473 PA Practitioner - Internal Medicine 3678608551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Scranton Urgent Care LLCGroup PAC ID 0648554220, 6 clinicians
Scranton Quincy Clinic Company LLCGroup PAC ID 0143487389, 66 clinicians

Practice addresses (Care Compare)

1141 Moosic St
Suite 3
Scranton, PA 18505-2105
Phone (570) 800-5926

315 S Main St
Old Forge, PA 18518-1606
Phone (570) 457-8364

Hospital & facility affiliations

  • Traditional Home Health Care Home health agency, Dunmore, PA, CCN 397774
  • Allied Services Home Health Home health agency, Clarks Summit, PA, CCN 397167
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
  • Allied Services Institute of Rehabilitation Inpatient rehabilitation facility, Scranton, PA, CCN 393030

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD040323EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Quincy Clinic Company LLC Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
Lake Scranton Urgent Care LLC Internal Medicine CurrentSince Oct 21, 2024 Accepting new patients
The Corvallis Clinic P C Past Accepting new patients
Physicians Health Alliance Inc Past Accepting new patients

Locations

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

1141 Moosic St
Ste 3
Scranton, PA 18505
Phone (570) 451-3404

521 Ash St
Ste 1
Scranton, PA 18509
Phone (570) 344-2244

1401 Electric St
Scranton, PA 18509
Phone (570) 770-5929

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
  • Direct secure messaging: julie.speicher.1@21771.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1275501264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ASH ST",
            "address_2": "SUITE 1",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092909",
            "telephone_number": "570-344-2244",
            "fax_number": "570-344-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ASH ST",
            "address_2": "SUITE 1",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092909",
            "telephone_number": "570-344-2244",
            "fax_number": "570-344-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEICHER",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD040323E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001198454",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie.speicher.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "521 Ash St",
            "address_2": "Suite 1",
            "city": "Dunmore",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185092909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

Verify at the official NPI Registry.