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Dr. Sarah M. Speck, MD

Accepting New Patients

(Dr. Sarah Marshall Speck, M.D.)

(5 Ratings)

Specializes in: Adult Cardiology

University of Illinois College of Medicine (1977)

Professional interests include: carotid stenosis, Holter monitoring, atherectomy, and more.

805 Madison Street
Seattle, WA 98104

(206) 466-5936

Dr. Sarah M. Speck, MD is a cardiologist in Seattle, WA specializing in adult cardiology. She graduated from University of Illinois College of Medicine in 1977 and has 49 years of experience. Dr. Sarah M. Speck, MD is affiliated with Providence, Swedish Medical Center, Swedish Issaquah Campus, Swedish Cherry Hill Campus, Swedish First Hill Campus and SELECT REHABILITATION LLC.

Office Locations

805 Madison Street
Seattle, WA 98104

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Some issues Dr. Sarah M. Speck, MD can help you with:

Coronary Artery Disease

Coronary artery disease (CAD) is the most common type of heart disease. It happens when the blood vessels carrying blood to the heart, called coronary arteries, narrow and harden. This occurs when cholesterol, a type of fat found in the blood, builds up to form plaque, which sticks to the inner walls of the arteries. As plaque accumulates, less blood can flow through the arteries, which may lead to the following:

Angina, which is chest pain that occurs when the heart does not receive enough blood flow.
Heart attack, which happens if the arteries leading to the heart are completely blocked.
Arrhythmia, or irregular heartbeat, which can develop if the heart does not have enough blood supply.
Heart failure, which may occur if a heart attack damages the heart and it becomes too weak to pump enough blood to the rest of the body.

Certain factors may increase risk for the disease, like smoking, lack of exercise, being overweight, high cholesterol, high blood pressure, and diabetes. CAD tends to develop over decades, so it can go undetected until it has become quite severe. A diagnosis may be established using such tests as:

Electrocardiogram (ECG), which records the heart's electrical activity over a period of time. ECGs can detect whether there is enough blood flow to the heart or if a heart attack has occurred.
Echocardiogram (echo), which creates images of the heart using sound waves. Echos can show whether the heart is able to pump blood normally.
Stress tests, where an ECG or echo is combined with exercise, like riding a stationary bike or walking on a treadmill. This test is done to find out if the heart can function properly while performing a strenuous activity.

Treatments for the disease include medications such as vasodilators, like nitroglycerin, which dilates (widens) the coronary arteries. CAD may also be treated by a procedure called angioplasty with stent placement, where a balloon is inflated inside a diseased artery to flatten the plaque deposits against the artery walls, creating more room for blood to flow.

In some severe cases of the disease, multiple arteries may be blocked, and an open heart surgery called coronary artery bypass surgery may be necessary. This operation transplants a vessel from another part of the body to form a graft that goes past the narrowed arteries, thus enabling blood to flow around those arteries.

Heart Attack

A heart attack is a serious medical event that happens when the blood supplying oxygen to the heart is cut off, usually because of a blockage in an artery. This results in damage or death of part of the heart muscle. The heart can heal, but like any part of the body that was injured it leaves a scar. This scar tissue does not contract effectively, so the ability of the heart to pump is lowered after a heart attack.

A heart attack, sometimes called a myocardial infarction, can happen without warning. However there are certain factors that raise the risk of heart attack. Some of these are:

Age
Gender (most heart attack sufferers are male)
A family history of heart attacks
Smoking
Obesity
High cholesterol
High blood pressure
Diabetes
Unhealthy lifestyle choices (lack of exercise, poor diet, too much alcohol or stress)

Heart attacks typically feel like pain or pressure in the chest that can radiate out to the back, arm, or jaw. Some other symptoms can include fatigue or weakness, shortness of breath, sweating, and nausea.

Treatment aims to increase blood flow to the heart muscle by opening up blocked blood vessels. Medications are sometimes used to dissolve clots in the arteries. Aspirin and other medications such as Plavix can thin the blood and make clots less likely to form. Dilators can widen blood vessels to make room for more blood to flow. Doctors can also use a procedure called catheterization to look at the blood vessels around the heart directly, place stents, or widen vessels using angioplasty. In extreme cases bypass surgery can be used to help blood flow better. After recovery, it is important to lead a healthy lifestyle and take any prescribed medications in order to protect the heart.

Heart Problems

The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.

Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.

Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.

Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.

Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.

In The News (see more mentions in the news)

“Dr. Sarah Speck, a Seattle-area cardiologist, said workplace stress has become a major cause of heart disease in those in their 40s and...”—"Paid-vacation law could make Washington state first in nation", Oregonlive , February 2014

“Dr. Sarah Speck of the Swedish Medical Center Seattle Heart & Vascular Institute will be the keynote speaker.”—"WEEKEND: Tickets on sale for Olympic Medical Center Foundation heart lunch", Peninsula Daily News, January 2013

“Keynote speaker Dr. Sarah Speck of the Swedish Medical Center Seattle Heart & Vascular Institute will talk about maintaining a healthy lifestyle, while Dr. Larri Ann Mishko of the Jamestown Medical...”—"WEEKEND: Other area events on North Olympic Peninsula", Peninsula Daily News, January 2013

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Sarah M. Speck, MD treated as a cardiologist in Seattle, WA during 2012 were ultrasound (sonogram), cardiac procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Sarah M. Speck, MD for Medicare patients.

cardiac procedures	263
doctor visit	927
hospital care	160
inpatient care	160
stress testing	44
ultrasound (sonogram)	263

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Sarah M. Speck, MD treated as a cardiologist in Seattle, WA during 2013 were ultrasound (sonogram), cardiac procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Sarah M. Speck, MD for Medicare patients.

cardiac procedures	207
doctor visit	587
hospital care	65
inpatient care	65
stress testing	32
ultrasound (sonogram)	207

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Sarah M. Speck, MD.

**Gender**
Male	182
Female	314

**Ethnicity**
Non-Hispanic White	423
Black	26
Hispanic	0
Asian	23
Other	11
Native American	0

**Age**
From 65 to 74	205
From 75 to 84	163
85 and over	97
Less than 65	31

Conditions of Medicare patients treated by Dr. Sarah M. Speck, MD in 2013

Hypertension	75
High Cholesterol	75
Stroke	10
Ischemic Heart Disease	57
Depression	17
Chronic Kidney Disease	29
Asthma	8
Osteoperosis	8
Atrial Fibrilation	28
Heart Failure	30
Chronic Obstructive Pulmonary Disease	11
Diabetes	22
Dementia	10
Cancer	19

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Sarah M. Speck, MD treated as a cardiologist in Seattle, WA during 2014 were ultrasound (sonogram) and cardiac procedures.

Volume of procedures performed by Dr. Sarah M. Speck, MD for Medicare patients.

cardiac procedures	139
doctor visit	300
ultrasound (sonogram)	139

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Sarah M. Speck, MD.

**Gender**
Male	113
Female	168

**Ethnicity**
Non-Hispanic White	231
Black	0
Hispanic	11
Asian	17
Other	11
Native American	0

**Age**
From 65 to 74	125
From 75 to 84	74
85 and over	51
Less than 65	31

Conditions of Medicare patients treated by Dr. Sarah M. Speck, MD in 2014

Hypertension	73
High Cholesterol	68
Stroke	7
Ischemic Heart Disease	55
Depression	23
Chronic Kidney Disease	34
Asthma	11
Osteoperosis	10
Atrial Fibrilation	23
Heart Failure	35
Chronic Obstructive Pulmonary Disease	13
Diabetes	27
Dementia	13
Cancer	14

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Sarah M. Speck, MD treated as a cardiologist in Seattle, WA during 2015 were ultrasound (sonogram) and cardiac procedures.

Volume of procedures performed by Dr. Sarah M. Speck, MD for Medicare patients.

cardiac procedures	12
doctor visit	333
ultrasound (sonogram)	12

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Sarah M. Speck, MD.

**Gender**
Male	126
Female	240

**Ethnicity**
Non-Hispanic White	324
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	180
From 75 to 84	132
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Sarah M. Speck, MD in 2015

Hypertension	68
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	59
Depression	15
Chronic Kidney Disease	15
Asthma	10
Osteoperosis	9
Atrial Fibrilation	23
Heart Failure	18
Chronic Obstructive Pulmonary Disease	0
Diabetes	19
Dementia	7
Cancer	11

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Sarah M. Speck, MD treated as a cardiologist in Seattle, WA during 2016 were blood draw.

Volume of procedures performed by Dr. Sarah M. Speck, MD for Medicare patients.

blood draw	41
doctor visit	454

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Sarah M. Speck, MD.

**Gender**
Male	78
Female	136

**Ethnicity**
Non-Hispanic White	191
Black	0
Hispanic	0
Asian	0
Other	12
Native American	0

**Age**
From 65 to 74	110
From 75 to 84	72
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Sarah M. Speck, MD in 2016

Hypertension	66
High Cholesterol	74
Stroke	7
Ischemic Heart Disease	57
Depression	16
Chronic Kidney Disease	16
Asthma	7
Osteoperosis	10
Atrial Fibrilation	17
Heart Failure	14
Chronic Obstructive Pulmonary Disease	5
Diabetes	17
Dementia	8
Cancer	12

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Sarah M. Speck, MD treated as a cardiologist in Seattle, WA during 2017 were blood draw, ultrasound (sonogram) and cardiac procedures.

Volume of procedures performed by Dr. Sarah M. Speck, MD for Medicare patients.

blood draw	44
cardiac procedures	24
doctor visit	375
ultrasound (sonogram)	24

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Sarah M. Speck, MD.

**Gender**
Male	64
Female	103

**Ethnicity**
Non-Hispanic White	149
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	93
From 75 to 84	56
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Sarah M. Speck, MD in 2017

Hypertension	75
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	75
Depression	13
Chronic Kidney Disease	19
Asthma	8
Osteoperosis	8
Atrial Fibrilation	23
Heart Failure	17
Chronic Obstructive Pulmonary Disease	0
Diabetes	19
Dementia	0
Cancer	11

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Sarah M. Speck, MD treated as a cardiologist in Seattle, WA during 2018 were blood draw, ultrasound (sonogram), cardiac procedures and preventive care.

Volume of procedures performed by Dr. Sarah M. Speck, MD for Medicare patients.

blood draw	36
cardiac procedures	24
doctor visit	402
preventive care	11
ultrasound (sonogram)	24
vaccines	11

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Sarah M. Speck, MD.

**Gender**
Male	63
Female	122

**Ethnicity**
Non-Hispanic White	170
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	90
From 75 to 84	76
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Sarah M. Speck, MD in 2018

Hypertension	75
High Cholesterol	75
Stroke	6
Ischemic Heart Disease	75
Depression	14
Chronic Kidney Disease	17
Asthma	7
Osteoperosis	8
Atrial Fibrilation	20
Heart Failure	16
Chronic Obstructive Pulmonary Disease	0
Diabetes	15
Dementia	0
Cancer	16

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Sarah M. Speck, MD treated as a cardiologist in Seattle, WA during 2019 were blood draw, ultrasound (sonogram) and cardiac procedures.

Volume of procedures performed by Dr. Sarah M. Speck, MD for Medicare patients.

blood draw	38
cardiac procedures	33
doctor visit	452
ultrasound (sonogram)	33

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Sarah M. Speck, MD.

**Gender**
Male	103
Female	165

**Ethnicity**
Non-Hispanic White	224
Black	13
Hispanic	0
Asian	0
Other	15
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	85
85 and over	37
Less than 65	17

Conditions of Medicare patients treated by Dr. Sarah M. Speck, MD in 2019

Hypertension	75
High Cholesterol	72
Stroke	10
Ischemic Heart Disease	69
Depression	22
Chronic Kidney Disease	29
Asthma	10
Osteoperosis	10
Atrial Fibrilation	26
Heart Failure	26
Chronic Obstructive Pulmonary Disease	9
Diabetes	21
Dementia	8
Cancer	17

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Sarah M. Speck, MD treated as a cardiologist in Seattle, WA during 2020 were blood draw, ultrasound (sonogram) and cardiac procedures.

Volume of procedures performed by Dr. Sarah M. Speck, MD for Medicare patients.

blood draw	45
cardiac procedures	13
doctor visit	300
ultrasound (sonogram)	13

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Sarah M. Speck, MD.

**Gender**
Male	162
Female	216

**Ethnicity**
Non-Hispanic White	304
Black	15
Hispanic	13
Asian	35
Other	0
Native American	0

**Age**
From 65 to 74	170
From 75 to 84	122
85 and over	52
Less than 65	34

Conditions of Medicare patients treated by Dr. Sarah M. Speck, MD in 2020

Hypertension	74
High Cholesterol	67
Stroke	7
Ischemic Heart Disease	62
Depression	29
Chronic Kidney Disease	39
Asthma	10
Osteoperosis	10
Atrial Fibrilation	24
Heart Failure	28
Chronic Obstructive Pulmonary Disease	15
Diabetes	24
Dementia	15
Cancer	15

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Sarah M. Speck, MD treated as a cardiologist in Seattle, WA during 2021 were ultrasound (sonogram), blood draw, cardiac procedures and vascular procedures.

Volume of procedures performed by Dr. Sarah M. Speck, MD for Medicare patients.

blood draw	31
cardiac procedures	22
doctor visit	312
ultrasound (sonogram)	40
vascular procedures	18

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Sarah M. Speck, MD.

**Gender**
Male	75
Female	140

**Ethnicity**
Non-Hispanic White	196
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	114
From 75 to 84	77
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Sarah M. Speck, MD in 2021

Hypertension	67
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	67
Depression	20
Chronic Kidney Disease	16
Asthma	0
Osteoperosis	13
Atrial Fibrilation	19
Heart Failure	16
Chronic Obstructive Pulmonary Disease	0
Diabetes	17
Dementia	0
Cancer	13

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Sarah M. Speck, MD treated as a cardiologist in Seattle, WA during 2022 were blood draw, ultrasound (sonogram) and cardiac procedures.

Volume of procedures performed by Dr. Sarah M. Speck, MD for Medicare patients.

blood draw	46
cardiac procedures	13
doctor visit	395
ultrasound (sonogram)	13

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Sarah M. Speck, MD.

**Gender**
Male	62
Female	138

**Ethnicity**
Non-Hispanic White	185
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	102
From 75 to 84	84
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Sarah M. Speck, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	6
Ischemic Heart Disease	53
Depression	17
Chronic Kidney Disease	13
Asthma	8
Osteoperosis	22
Atrial Fibrilation	24
Heart Failure	13
Chronic Obstructive Pulmonary Disease	0
Diabetes	15
Dementia	0
Cancer	16

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Sarah M. Speck, MD for Medicare patients.

The highest averages for the top procedures that Dr. Sarah M. Speck, MD treated as a cardiologist in Seattle, WA were hospital care, inpatient care, ultrasound (sonogram) and cardiac procedures.

blood draw	40
cardiac procedures	75
doctor visit	439
hospital care	112
inpatient care	112
preventive care	11
stress testing	38
ultrasound (sonogram)	76
vaccines	11
vascular procedures	18

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Sarah M. Speck, MD.

**Gender**
Male	93
Female	158

**Ethnicity**
Black / African American	4
Asian / Pacific Islander	6
Non-Hispanic White	217
Native American / Alaskan Native	0
Hispanic	2
Other	4

**Age**
75 to 84	85
85 and over	21
Less than 65	10
65 to 74	108

Average of Total of Conditions of Medicare patients treated by Dr. Sarah M. Speck, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Sarah M. Speck, MD treated were high cholesterol, hypertension, ischemic heart disease and atrial fibrilation.

Hypertension	65
High Cholesterol	66
Stroke	5
Ischemic Heart Disease	57
Depression	16
Chronic Kidney Disease	20
Asthma	7
Osteoporosis	9
Heart Failure	19
Chronic Obstructive Pulmonary Disease	4
Diabetes	17
Atrial Fibrillation	20
Dementia	5
Cancer	13

Education & Training

Dr. Sarah M. Speck, MD graduated from University of Illinois College of Medicine in 1977. She completed residency at University of Washington Affiliated Hospitals. She is certified by the American Board of Internal Medicine, Cardiovascular Disease and has a state license in Washington.

Medical School: University of Illinois College of Medicine (1977)

Residency: University of Washington Affiliated Hospitals (1980)

Board Certification: American Board of Internal Medicine, Cardiovascular Disease

Licensed In: Washington

Affiliations & Hospitals

Dr. Sarah M. Speck, MD is associated with these hospitals and organizations:

Providence

Swedish Medical Center

Swedish Issaquah Campus

Swedish Cherry Hill Campus

Swedish First Hill Campus

SELECT REHABILITATION LLC

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Sarah M. Speck, MD appears to accept the following insurance providers: Humana PPO, Aetna PPO, CIGNA PPO, Medicare Advantage, Humana Medicare Advantage, Interplan PPO, TriWest, TRICARE, Medicaid, Humana, Cigna, United Healthcare Medicaid, OptumHealth Behavioral Solutions (United Behavioral Health), United Healthcare PPO, Providence, Humana HMO, First Health, Kaiser Permanente, Aetna Medicare PPO, Carelon PPO, Ambetter Cascade Select, Ambetter Cascade Care, Premera, Evernorth PPO, Seven Corners, First Choice PPO and Regence BlueShield of Washington PPO.

Insurance Accepted by Provider includes:

According to our sources, Dr. Sarah M. Speck, MD accepts the following insurance providers:

Humana PPO

Aetna PPO

CIGNA PPO

Medicare Advantage

Humana Medicare Advantage

Interplan PPO

TriWest

TRICARE

Medicaid

Humana

Cigna

United Healthcare Medicaid

OptumHealth Behavioral Solutions (United Behavioral Health)

United Healthcare PPO

Providence

Humana HMO

First Health

Kaiser Permanente

Aetna Medicare PPO

Carelon PPO

Ambetter Cascade Select

Ambetter Cascade Care

Premera

Evernorth PPO

Seven Corners

First Choice PPO

Regence BlueShield of Washington PPO

Ratings & Reviews

Dr. Sarah M. Speck, MD has a high overall rating with an average of 4.4 out of 5 stars based on 5 ratings. We collect ratings and reviews of Dr. Sarah M. Speck, MD from all over the web to help you find the right in Seattle, WA.

4.4

Overall Rating

(5 Ratings)

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General Payments

These charts describe general payments received by Dr. Sarah M. Speck, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Regeneron Pharmaceuticals, Inc.	$248 PRALUENT (alirocumab) Injection $125	PRALUENT ALIROCUMAB INJECTION $123
Aegerion Pharmaceuticals, Inc.	$125 JUXTAPID $125
Amgen Inc.	$120 Repatha $120
Boston Scientific Corporation	$102 WATCHMAN $102
LIPOSCIENCE, INC.	$98 NMR LipoProfile Test $98
Other	$157 XARELTO $61	Thoracolumbar Therapies $31	Ozempic $16	$49

**Types of Payments**
Food and Beverage	$850

Biography

Dr. Sarah Speck's area of specialization is adult cardiology. Dr. Speck's areas of expertise include cardiac risk reduction, shortness of breath (dyspnea), and myocarditis. Patients rated her highly, giving her an average of 4.5 stars (out of 5). She accepts HealthSmart, Coventry, CIGNA Plans, and more. She attended medical school at the University of Illinois College of Medicine. For her professional training, Dr. Speck completed a residency program at a hospital affiliated with the University of Washington. Dr. Speck's hospital/clinic affiliations include Providence, Swedish Cherry Hill Campus, and Swedish Issaquah Campus. Dr. Speck has an open panel in Seattle, WA according to Doctor.com.