NPIMap

Organization Active NPI

Michael a. Specter Inc.

  • Podiatrist
  • Saint Louis, MO
National Provider Identifier
1932204740
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000423MO Issued in MO
Legal business name
MICHAEL A. SPECTER INC.
Practice address
8515 Delmar Blvd Ste 215
Saint Louis, MO 63124-2168
Phone
(314) 692-8484
Fax
(314) 692-8488
NPI assigned
Sep 14, 2006
Last updated
Dec 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Dr. Michael Alan Specter, D.P.M.NPI 1629021175
Title
President
Phone
(314) 692-8484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000423MO MO Primary

Addresses

Primary practice location

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

Mailing address

8515 Delmar Blvd Ste 215
Saint Louis, MO 63124-2168
Phone (314) 692-8484

Other identifiers 2

IdentifierTypeStateIssuer
000423OtherMOMISSOURI STATE LICENSE #
SP300800422MOMedicaidMO

National Provider Directory

National Provider Directory

Locations

8515 Delmar Blvd
Ste 215
Saint Louis, MO 63124
Phone (314) 692-8484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1932204740",
    "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": {
        "organization_name": "MICHAEL A. SPECTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "SPECTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-692-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "000423MO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE LICENSE #",
            "identifier": "000423",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP300800422MO",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.