SHEILA M SPECKER


Address: 2312 S 6th St, Suite F256 / 2b West, Minneapolis, MN 55454-1336
Phone: 6122738700

SHEILA M SPECKER (NPI# 1710068119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710068119
Entity Type Individual
Full Name SHEILA M SPECKER
Credential MD
Practice Address 2312 S 6th St
Suite F256 / 2b West
Minneapolis
MN 55454-1336
Mailing Address 420 Delaware Street Se
University of Minnesota Physicians
Minneapolis
MN 55455
Practice Telephone 6122738700
Mailing Telephone 6122738700
Enumeration Date 2006-10-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084A0401X Psychiatry & Neurology
Specialization: Addiction Medicine
30762 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN BLUE CROSS BLUE SHIELD 8D936SP 01
MN PREFERRED ONE 1009314 01
MN MEDICA PRIMARY 15-39940 01
MN MEDICA CHOICE 15-39940 01
MN UCARE 102845 01
MN 150287500 05
MN ARAZ 768357 01
MN HEALTH PARTNERS HP22007 01

Office Location

Street Address 2312 S 6TH ST
SUITE F256 / 2B WEST
City MINNEAPOLIS
State MN
Zip Code 55454-1336

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801836127 Sanjiv Kumra Psychiatry & Neurology 2312 S 6th St, Suite F256/2b W, Minneapolis, MN 55454-1336 2006-06-07
1245843101 Molly K Cirillo Social Worker 2312 S 6th St, Minneapolis, MN 55454-1336 2020-08-28
1518526532 Marie Amelia Metzger Social Worker 2312 S 6th St, Minneapolis, MN 55454-1336 2019-06-12
1942680236 Melissa Reiland Dalhoe Social Worker 2312 S 6th St, Suite F-275, Minneapolis, MN 55454-1336 2015-06-02
1114208006 Kathleen A Strawn Occupational Therapist 2312 S 6th St, Minneapolis, MN 55454-1336 2011-09-06
1710211768 Andrea Lynn Childress Nurse Practitioner 2312 S 6th St, Minneapolis, MN 55454-1336 2009-09-23
1548432891 Susan Jane Jorstad Social Worker 2312 S 6th St, Suite F256/2b W, Minneapolis, MN 55454-1336 2008-03-27
1003992363 Peter Milev Psychiatry & Neurology 2312 S 6th St, Ste F256 / 2b W University of Minnesota Physicians, Minneapolis, MN 55454-1336 2006-10-30
1245315084 Stephen C Olson Psychiatry & Neurology 2312 S 6th St, Suite F256 / 2b West, Minneapolis, MN 55454-1336 2006-10-26
1689758591 Gerald J August Psychologist 2312 S 6th St, Suite F256/2b W, Minneapolis, MN 55454-1336 2006-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194341842 Bruce Zhang Student in an Organized Health Care Education/Training Program 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 2020-06-18
1205456738 Sara Segner Student in an Organized Health Care Education/Training Program Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-24
1417576844 Sabena Khan Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 2020-04-15
1811525983 Kayla Joy Solstad Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-01
1720647126 Lauren Harasymiw Student in an Organized Health Care Education/Training Program Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2019-06-10
1689237448 Katelyn Marie Adams Student in an Organized Health Care Education/Training Program Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-17
1285197848 Adrienne Bruder Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-10
1588142855 Stewart Graeme Morrison Student in an Organized Health Care Education/Training Program Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 2018-07-30
1831682251 Sherab Tsheringla Student in an Organized Health Care Education/Training Program 2450 Riverside Avenue South, Minneapolis, MN 55454 2018-06-11
1669962148 Pooja Elizabeth Mishra Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 2018-05-10
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Taxonomy Information

Taxonomy Code 2084A0401X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Medicine

Taxonomy Definition

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
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568791143 Philip A Brooks Psychiatry & Neurology 1300 Hennepin Ave, Apt. M207, Minneapolis, MN 55403-1730 2009-12-10
1023062783 Ernest William Lampe Psychiatry & Neurology 3329 University Avenue Se, Minneapolis, MN 55414 2006-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679054969 Becky Schwarzhoff Psychiatry & Neurology 119 Friberg Ave Ste B, Fergus Falls, MN 56537-2309 2018-08-24
1528417037 Victor Nertey Nettey Jr. Psychiatry & Neurology 200 1st St Sw, Rochester, MN 55905-0001 2016-06-06
1215319348 Cameron Risma Psychiatry & Neurology 200 1st St Sw, Rochester, MN 55905-6927 2015-06-25
1538508478 Joseph Anthony Carley Iv Psychiatry & Neurology 200 1st St Sw, Rochester, MN 55905-0001 2013-06-24
1801846415 Stephen S Swenson Psychiatry & Neurology 713 Anderson Ave, St Cloud, MN 56303 2006-05-12

Competitor

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City MINNEAPOLIS
Zip Code 55454

Improve Information

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Dataset Information

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.

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