Provider Demographics
NPI:1386862266
Name:MATTHEW SPEYER, M.D., F.A.C.S.
Entity Type:Organization
Organization Name:MATTHEW SPEYER, M.D., F.A.C.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEA ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:615-865-7050
Mailing Address - Street 1:3443 DICKERSON PIKE
Mailing Address - Street 2:STE 320
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207
Mailing Address - Country:US
Mailing Address - Phone:615-865-7050
Mailing Address - Fax:615-865-0775
Practice Address - Street 1:3443 DICKERSON PIKE
Practice Address - Street 2:STE 320
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2519
Practice Address - Country:US
Practice Address - Phone:615-865-7050
Practice Address - Fax:615-865-0775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30582174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNGROUPOtherNPI