John George Speck, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

P6279 Issued in TX

Practice address

5709 Sherwood Way
San Angelo, TX 76901-5643

Phone

(325) 703-6900

NPI assigned

Jun 9, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Frio Hospital Association

  • Critical Access Hospital Clinic/Center
  • Pearsall, TX
  • NPI 1952308132

  Emergency Medicine

  Medicare reassignment NPD
• Concho Valley Emergency Physicians PLLC

  • Emergency Medicine Physician
  • San Angelo, TX
  • NPI 1972062545
  NPD Authorized official
• San Angelo ER LLC

  • Emergency Care Clinic/Center
  • San Angelo, TX
  • NPI 1407392566
  NPD Authorized official
• Frio Hospital Association

  • Clinic/Center
  • Pearsall, TX
  • NPI 1053195032
  NPD

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1891921409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 SHERWOOD WAY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015643",
            "telephone_number": "325-703-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 SHERWOOD WAY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015643",
            "telephone_number": "325-703-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECK",
        "first_name": "JOHN",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "P6279",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P6279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southwest Dental Care
• Tess Marie Spargo, MD
• Carmen Jennifer Spence-Richards
• Brooke Janell Sport, LPC
• April Leigh Springer
• Christopher A Stallard, FNP-C, AGACNP-BC
• Brenda Sparks Stallings, RN

• Emergency Medicine Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.