KAREN ELIZABETH SPECK M.D. NPI 1962621169

NPI Information

NPI: 1962621169
Provider Name: KAREN ELIZABETH SPECK, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
Phone: (734) 936-4000
Get Directions

Karen Elizabeth Speck, M.D. is a pediatric surgery surgery in Ann Arbor, MI with 19 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Karen Elizabeth Speck, M.D. NPI is 1962621169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109-000
Phone: (734) 936-4000

The NPI 1962621169 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 4/25/2007 and was last updated on 3/9/2023.

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	208600000X	Surgery		4301101060	MICHIGAN	No
2	208600000X	Surgery		MD51606	TENNESSEE	No
3	2086S0120X	Surgery	Pediatric Surgery	MD51606	TENNESSEE	No
4	2086S0120X	Surgery	Pediatric Surgery	35.137134	OHIO	No
5	2086S0120X	Surgery	Pediatric Surgery	4301101060	MICHIGAN	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	0328887	MEDICAID	OHIO

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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