Individual ProviderJim E SpeedObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address165 Whitesport Dr SW, Suite 1, Huntsville, AL 35801-7426(256) 881-4357PECOS EnrollmentBased on the most recent information from CMS, provider Jim E Speed does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1053313668Provider TypeIndividualFull NameSpeed, Jim ETitleDr.CredentialD.O.GenderMaleSole ProprietorNoEnumeration Date8/12/2005Last Updated12/5/2013Contact InformationPractice LocationPractice Address165 Whitesport Dr SW, Suite 1, Huntsville, AL 35801-7426Phone(256) 881-4357Fax(256) 881-4389Mailing LocationMailing Address165 Whitesport Dr SW, Suite 1, Huntsville, AL 35801-7426Phone(256) 881-4357Fax(256) 881-4389Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseDO123AlabamaProvider IdentifiersIDDescriptionIssuerID000014824DescriptionMedicaidIssuerUnlistedAlabama