Cheryl Premila Speake
D.O. | Pediatrics | Female
Cheryl Premila Speake, D.O. is a Fort Smith, Arkansas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Cheryl Premila Speake is
3224 S 70th St, Fort Smith, Arkansas - 72903-5050. She can be contacted on phone at
479-314-4810 and fax number 479-314-4829.
Cheryl Premila Speake is a sole proprietor of her business.
NPI number (Unique professional ID) for Cheryl Premila Speake is
1295051167 which was assigned by NPPES on 15 Apr, 2010 and it was last updated on 21 Jul, 2022.
Cheryl Premila Speake license number is
E-9186 for Pediatrics (208000000X) in Arkansas.
Cheryl Premila Speake is a pediatrician who 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.
Complete Profile:
Cheryl Premila Speake basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Cheryl Premila Speake |
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| Credential : | D.O. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Cheryl Premila Speake address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3224 S 70th St
Fort Smith, AR, 72903-5050
United States |
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| Phone Number : | 479-314-4810 |
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| Fax Number : | 479-314-4829 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295051167 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Apr, 2010 |
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| Last Updated On : | 21 Jul, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cheryl Premila Speake are as mentioned. Primary taxonomy code for Cheryl Premila Speake, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | BP10037147 | TX |
| 208000000X | Pediatrics | Yes | E-9186 | AR |
Legacy Identifiers:
Other legacy medical identifiers of Cheryl Premila Speake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 209981003 | MEDICAID | AR | |
| 200601840A | Other | | MEDICAID SOONERCARE |
| 200601840A | MEDICAID | OK | |
| 2487 | Other | TN | TN MEDICAL LIC |
| Q001054 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2901 S 74th St
Fort Smith, AR, 72903-5156
United States |
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| Phone Number : | 479-314-1101 |
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| Fax Number : | 479-314-4704 |
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Business Location:
Patients can refer following map for directions to
Cheryl Premila Speake practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.