NPIMap

Individual provider Active NPI

Joseph Lee Speake, D.O.

  • Family Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1578889440
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-9277 Issued in AR
Practice address
1000 S. Waldron Road
Fort Smith, AR 72903-4100
Phone
(479) 221-9922
Fax
(479) 221-9988
NPI assigned
Apr 15, 2010
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10037266 TX
Family Medicine Physician 207Q00000X P0795 TX
Family Medicine Physician 207Q00000X E-9277 AR Primary

Addresses

Primary practice location

1000 S. Waldron Road
Fort Smith, AR 72903-4100

Mailing address

1000 S Waldron Rd
Fort Smith, AR 72903-2550
Phone (479) 221-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20150908002172 AR Practitioner - Family Practice 5395906564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 S Waldron Rd
Fort Smith, AR 72903-2550
Phone (479) 221-9922

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2492TNMDClinical Psychologist
E-9277ARMDFamily Medicine Physician
BP10037266TXMDFamily Medicine Physician
P0795TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 1, 2015 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 1, 2015 Accepting new patients

Locations

1000 S Waldron Rd
Fort Smith, AR 72903
Phone (479) 221-9922

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101

Interoperability endpoints

  • Direct secure messaging: jspeake723161@directb.mercy.net
  • Direct secure messaging: jspeake722564@directc.mercy.net

Organizations & group practices 2

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

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1578889440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032550",
            "telephone_number": "479-221-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S. WALDRON ROAD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034100",
            "telephone_number": "479-221-9922",
            "fax_number": "479-221-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKE",
        "first_name": "JOSEPH",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10037266",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0795",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-9277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.