Provider Type Icon

JACQUELINE MARIE SPEED M.D. NPI 1811314966


NPI Information

NPI: 1811314966
Provider Name: JACQUELINE MARIE SPEED, M.D.
Classification: Urology - 2088F0040X
Entity Type: Individual

Specialization: Female Pelvic Medicine and Reconstructive Surgery

Organization: NORTH SHORE PHYSICIANS GROUP INC

PECOS Registration: Yes

Address:
400 HIGHLAND AVE
SALEM, MA
ZIP 01970
Phone: (978) 741-4133
Get Directions

Jacqueline Marie Speed, M.D. is a female pelvic medicine and reconstructive surgery urology in Salem, MA with 10 years of experience. The provider is a subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. Jacqueline Marie Speed, M.D. NPI is 1811314966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2014

The provider's business location address is:

400 HIGHLAND AVE
SALEM, MA
ZIP 01970-003
Phone: (978) 741-4133

The NPI 1811314966 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 3/26/2014 and was last updated on 2/5/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
22088F0040XUrologyFemale Pelvic Medicine and Reconstructive SurgeryA160406CALIFORNIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.