CHERYL PREMILA SPEAKE (NPI# 1295051167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295051167 |
| Entity Type | Individual |
| Full Name | CHERYL PREMILA SPEAKE |
| Credential | D.O. |
| Practice Address |
3224 S 70th St Fort Smith AR 72903-5050 |
| Mailing Address |
2901 S 74th St Fort Smith AR 72903-5156 |
| Practice Telephone | 4793144810 |
| Practice Fax Number | 4793144829 |
| Mailing Telephone | (479) 314-1101 |
| Mailing Fax Number | 4793144704 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2017-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | E-9186 | AR | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | BP10037147 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200601840A | 05 | |
| AR | 209981003 | 05 | |
| TN | Q001054 | 05 | |
| MEDICAID SOONERCARE | 200601840A | 01 | |
| TN | TN MEDICAL LIC | 2487 | 01 |
| Street Address |
3224 S 70TH ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-5050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205878113 | Andrew Balford Riche | Obstetrics & Gynecology | 3224 S 70th St, Fort Smith, AR 72903-5050 | 2006-06-12 |
| 1255726097 | Kody A Nichols | Pediatrics | 3224 S 70th St, Fort Smith, AR 72903-5050 | 2015-03-30 |
| 1225161599 | Center for Womens Health | Obstetrics & Gynecology | 3224 S 70th St, Fort Smith, AR 72903-5050 | 2007-03-14 |
| 1578586376 | John David Mcclanahan | Obstetrics & Gynecology | 3224 S 70th St, Fort Smith, AR 72903-5050 | 2006-07-25 |
| 1588686943 | Don R Phillips | Obstetrics & Gynecology | 3224 S 70th St, Fort Smith, AR 72903-5050 | 2006-07-24 |
| 1114947652 | Western Arkansas Center for Womens Health | Obstetrics & Gynecology | 3224 S 70th St, Fort Smith, AR 72903-5050 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1861656431 | Hamzah Miltaha | Pediatrics | 8911 Gracie Ln, Fort Smith, AR 72916-8846 | 2008-07-14 |
| 1114954138 | Charles Henry Floyd | Pediatrics | 3304 Newport Pl, Fort Smith, AR 72903-5665 | 2006-06-26 |
| 1992753800 | Joel Edward Parker, Jr. | Pediatrics | 2001 Rogers Ave, Suite 2, Fort Smith, AR 72901-3933 | 2006-05-04 |
| 1720503360 | Corey Anne Arnold | Pediatrics | 7800 Dallas St, Fort Smith, AR 72903-4278 | 2017-08-04 |
| 1255726097 | Kody A Nichols | Pediatrics | 3224 S 70th St, Fort Smith, AR 72903-5050 | 2015-03-30 |
| 1962776369 | James Matthew Post Jr. | Pediatrics | 5200 Park Ave, Fort Smith, AR 72903-1421 | 2012-03-02 |
| 1548572027 | Ndidibuike N Ukwe | Pediatrics | 7303 Rogers Ave, Suite 200, Fort Smith, AR 72903-4165 | 2010-07-13 |
| 1841466117 | Ivelesse Dupree | Pediatrics | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2008-05-06 |
| 1700099074 | Cooper Clinic Pa | Pediatrics | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2007-05-07 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on CHERYL PREMILA SPEAKE.
| 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.