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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
30762 | MN | Allopathic & Osteopathic Physicians |
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 |
Street Address |
2312 S 6TH ST SUITE F256 / 2B WEST |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55454-1336 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 55454 |
Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
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 |
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 |
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 |
City | MINNEAPOLIS |
Zip Code | 55454 |
Please comment or provide details below to improve the information on SHEILA M SPECKER.
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.