NPIMap

Individual provider Active NPI

David Speizman, DO

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1952356685
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS6665 Issued in FL
Practice address
2015 Ocean Dr
#8
Boynton Beach, FL 33426-5131
Phone
(561) 737-4777
Fax
(561) 737-0996
NPI assigned
May 23, 2006
Last updated
Feb 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS6665 FL Primary

Addresses

Primary practice location

2015 Ocean Dr
#8
Boynton Beach, FL 33426-5131

Mailing address

5700 Lake Worth Rd
#204
Greenacres, FL 33463-4727
Phone (561) 968-7968

Other identifiers 1

IdentifierTypeStateIssuer
376328500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104000019 FL Practitioner - Internal Medicine 0042408221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1700 W Woolbright Rd
1 Cora Physical Therapy Boynton Beach
Boynton Beach, FL 33426-6346
Phone (561) 336-0112

2015 Ocean Dr
Suite 8
Boynton Beach, FL 33426-5131
Phone (561) 737-4777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6665FLMDOptometrist
OS6665FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of the Palm Beaches Inc Internal Medicine CurrentSince Jan 1, 2002 Accepting new patients
Medical Specialists of the Palm Beaches Inc Internal Medicine CurrentSince Jan 1, 2002 Accepting new patients
Primary Care Medical Associates, Inc. Past Accepting new patients
Primary Care Medical Associates Inc Past Accepting new patients
Medical Specialists of the Palm Beaches Inc Internal Medicine Past Accepting new patients

Locations

5401 S Congress Ave
Ste 105
Atlantis, FL 33462
Phone (561) 642-8500

10151 Entrprs Cntr Blvd
Ste 105
Boynton Beach, FL 33437
Phone (561) 484-5559

155 N Congress Ave
Boynton Beach, FL 33426
Phone (407) 737-4777

2015 Ocean Dr
Ste 8
Boynton Beach, FL 33426
Phone (561) 737-4777

5700 Lake Worth Rd
Ste 204
Greenacres, FL 33463
Phone (561) 966-7707

3472 Forest Hill Blvd
Ste 2B
West Palm Beach, FL 33406
Phone (561) 964-3440

Interoperability endpoints

  • Direct secure messaging: david.speizman.1@11933.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1952356685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD",
            "address_2": "#204",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634727",
            "telephone_number": "561-968-7968",
            "fax_number": "561-964-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 OCEAN DR",
            "address_2": "#8",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265131",
            "telephone_number": "561-737-4777",
            "fax_number": "561-737-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEIZMAN",
        "first_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS6665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376328500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.