Individual provider Active NPI

Peter Joseph Speicher, M.D.

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1669464822
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H7830 Issued in TX
Practice address
730 N Main Ave
Ste. 418
San Antonio, TX 78205-1116
Phone
(210) 223-9707
Fax
(210) 224-0416
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X H7830 TX Primary

Addresses

Primary practice location

730 N Main Ave
Ste. 418
San Antonio, TX 78205-1116

Mailing address

730 N. Main Ave.
Ste. #418
San Antonio, TX 78205-1116
Phone (210) 223-9707

Other identifiers 1

IdentifierTypeStateIssuer
120609604MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H7830TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hector L Nevarez MD PA PastSince Aug 17, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1669464822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N. MAIN AVE.",
            "address_2": "STE. #418",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051116",
            "telephone_number": "210-223-9707",
            "fax_number": "210-224-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MAIN AVE",
            "address_2": "STE. 418",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051116",
            "telephone_number": "210-223-9707",
            "fax_number": "210-224-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEICHER",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H7830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120609604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.