Albert Speach, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

26776 Issued in KY

Practice address

225 Medical Center Dr Ste 303
Paducah, KY 42003-7915

Phone

(270) 444-4222

Fax

(270) 444-4223

NPI assigned

Jun 1, 2005

Reactivated

Jul 26, 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 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1891797940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 303",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037915",
            "telephone_number": "270-444-4222",
            "fax_number": "270-444-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 303",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037915",
            "telephone_number": "270-444-4222",
            "fax_number": "270-444-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEACH",
        "first_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2019-09-05",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "26776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1417499880",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "611203959",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "611203959",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-R/R MEDICARE",
            "identifier": "CM4495",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA U.S. HEALTHCARE",
            "identifier": "0004267001",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000069025",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA - FUNDS",
            "identifier": "1432663",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64267768",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southside Family Chiropractic
• Kelly Lynn Sowers
• Gracie Sparks
• Michael C Sparks, D.M.D.
• Rodney Lee Sparks, D.C.
• Kelly M Spearman
• Speech Therapy Services
• Rebecca J Spencer, MD
• Daly Lynn Spicer
• Donald L Spicer, M.D.

• Otolaryngology Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Otolaryngology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.