Michael A Specter, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

423 Issued in MO

Practice address

8515 Delmar Blvd Ste 215
Saint Louis, MO 63124-2168

Phone

(314) 692-8484

Fax

(314) 692-8488

NPI assigned

May 18, 2006

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

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1629021175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 DELMAR BLVD STE 215",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242168",
            "telephone_number": "314-692-8484",
            "fax_number": "314-692-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 DELMAR BLVD STE 215",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242168",
            "telephone_number": "314-692-8484",
            "fax_number": "314-692-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECTER",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP300800422",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Specialty Healthcare Systems, LLC
• Specialty Retail Pharmacy
• Randall C Speck, M.D.
• Kathy Jane Speckart, COTA L
• Katy Schweiss Speckmeyer, LCSW
• Trisha L Specter, PA-C
• Gershon J Spector, MD
• Kathryn A Spectorsky, MD
• Spectrum Psychiatry, P.C.
• Speech Spark Therapy Services LLC

• Podiatrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.