SHEILA M SPECKER MD NPI 1710068119

NPI Information

NPI: 1710068119
Provider Name: SHEILA M SPECKER, MD
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
2312 S 6TH ST
SUITE F256 / 2B WEST
MINNEAPOLIS, MN
ZIP 55454
Phone: (612) 273-8700
Get Directions

Sheila M Specker, MD is an addiction medicine psychiatry neurology in Minneapolis, MN with 41 years of experience. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine Sheila M Specker, MD NPI is 1710068119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1983

The provider's business location address is:

2312 S 6TH ST
SUITE F256 / 2B WEST
MINNEAPOLIS, MN
ZIP 55454-336
Phone: (612) 273-8700

The NPI 1710068119 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	30762	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1009314	OTHER	MINNESOTA	PREFERRED ONE
2	768357	OTHER	MINNESOTA	ARAZ
3	HP22007	OTHER	MINNESOTA	HEALTH PARTNERS
4	15-39940	OTHER	MINNESOTA	MEDICA CHOICE
5	B56780	MEDICARE UPIN
6	15-39940	OTHER	MINNESOTA	MEDICA PRIMARY
7	150287500	MEDICAID	MINNESOTA
8	8D936SP	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
9	102845	OTHER	MINNESOTA	UCARE
10	558249	MEDICARE ID-TYPE UNSPECIFIED
11	260022385	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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