DR. MARK O SPEIGHT (NPI# 1003801655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003801655 |
| Entity Type | Individual |
| Full Name | DR. MARK O SPEIGHT |
| Credential | M.D. |
| Practice Address |
1258 Mann Dr Suite 100 Matthews NC 28105-5547 |
| Practice Telephone | 7048472022 |
| Practice Fax Number | 7048471830 |
| Mailing Telephone | 7048472022 |
| Mailing Fax Number | 7048471830 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2015-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9401496 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1258 MANN DR SUITE 100 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-5547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700218500 | Michaela Elise Boeche | Counselor | 1258 Mann Dr, #100, Matthews, NC 28105-5547 | 2013-08-02 |
| 1598075020 | Carrie E Yerkes | Physician Assistant | 1258 Mann Dr, Suite 100, Matthews, NC 28105-5547 | 2010-10-18 |
| 1558572297 | Center for Wellness, Pa | Specialist | 1258 Mann Dr, Suite 100, Matthews, NC 28105-5547 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306479837 | Advanced Regenerative Care of Charlotte, Pllc | Family Medicine | 10734b Monroe Rd, Matthews, NC 28105-8397 | 2020-02-12 |
| 1114370988 | Gapover Md, Pllc | Family Medicine | 5023 Weddington Matthews Rd, Matthews, NC 28104-9413 | 2016-07-18 |
| 1164781845 | Novant Medical Group, Inc | Family Medicine | 7800 Stevens Mill Rd, Suite 0, Matthews, NC 28104-6111 | 2012-05-15 |
| 1346529500 | Carolina Medicorp Enterprises,inc | Family Medicine | 9600 E Independence Blvd Ste 170, Matthews, NC 28105-4628 | 2011-08-05 |
| 1518144526 | Carolinas Physicians Network Inc | Family Medicine | 2407 Plantation Center Drive, Suite 102, Matthews, NC 28105-6614 | 2008-01-22 |
| 1235251828 | Makeecha Reed-crawford | Family Medicine | 9600 E Independence Blvd, Matthews, NC 28105-4628 | 2007-04-04 |
| 1689726655 | Choice Care Family Medical Center PC | Family Medicine | 2435 Plantation Center Drive, Suite 110, Matthews, NC 28105-5148 | 2007-01-18 |
| 1396772752 | Lou Ann Mcadams | Family Medicine | 113 N Ames St, Matthews, NC 28105-5639 | 2006-06-28 |
| 1134175227 | Virginia Reed Killoren | Family Medicine | 1332 Sea Mist Dr, Matthews, NC 28105 | 2006-05-26 |
| 1144214974 | Compassionate Care LLC | Family Medicine | 201 West Main, Matthews, MO 63867 | 2005-09-08 |
| Find all providers in MATTHEWS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.