DR. MARK O SPEIGHT M.D. NPI 1003801655

Family Medicine in Matthews, NC

Individual Male Family Medicine PECOS Enrolled

About MARK SPEIGHT

Mark Speight is a provider established in Matthews, North Carolina and his medical specialization is family medicine. The NPI number of Mark Speight is 1003801655 and was assigned on September 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 9401496 (NC). The provider is registered as an individual and his NPI record was last updated 4 years ago. Mark Speight is enrolled in PECOS.

NPI

1003801655

Provider NameDR. MARK O SPEIGHT M.D.
Provider Location Address1258 MANN DR SUITE 100 MATTHEWS, NC 28105
Provider Mailing Address1258 MANN DR SUITE 100 MATTHEWS, NC 28105
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-20-2005
Last Update Date04-02-2015

Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.9401496
License StateNC
Taxonomy DescriptionFamily 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.

Business Address

DR. MARK O SPEIGHT M.D.
1258 MANN DR
SUITE 100
MATTHEWS, NC
ZIP 28105
Phone: (704) 847-2022
Fax: (704) 847-1830

Get Directions

Mailing Address

DR. MARK O SPEIGHT M.D.
1258 MANN DR
SUITE 100
MATTHEWS, NC
ZIP 28105
Phone: (704) 847-2022
Fax: (704) 847-1830

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
D17678MEDICARE UPIN (02)

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558572297CENTER FOR WELLNESS, PA
Organization
Specialist1258 MANN DR SUITE 100
MATTHEWS, NC 28105
(704) 847-2022
1598075020MS. CARRIE E YERKES PA-C
Individual
Physician Assistant1258 MANN DR SUITE 100
MATTHEWS, NC 28105
(704) 847-2022
1700218500MS. MICHAELA ELISE BOECHE LPCA
Individual
Counselor (Professional)1258 MANN DR #100
MATTHEWS, NC 28105
(704) 841-3886

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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