David M Beatty in Springfield - Family Medicine

David M Beatty - NPI 1568471274

David M Beatty is a Family Medicine in Springfield, Illinois. David M Beatty practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for David M Beatty is 1568471274. The last update date is 2011-12-16.

David M Beatty's current location address is 2901 Old Jacksonville Rd, Springfield, Illinois. You can contact this provider via phone number 2176989722 and fax number 2173910392. The mailing address for David M Beatty is 2901 Old Jacksonville Rd, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name David M Beatty
Address 2901 Old Jacksonville Rd, Springfield, Illinois
Phone Number 2176989722
Fax Number 2173910392
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1568471274
Provider Enumeration Date 2006-08-05
Last Updated Date 2011-12-16

Provider Mailing Address Detail

Address 2901 Old Jacksonville Rd
City Springfield
State Illinois (IL)
Post Code 627047437
Phone Number 2176989722
Fax Number 2173910392

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 38680
Definition:
Family 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 i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20057300 IL BLACK LUNG
36112014 IL STATE LICENSE
8421024 IL BCBS
14D0435365 IL CLIA CERT CHATHAM LOC
133586700 IL ACS-OWCP
14D0949277 IL CLIA CERT SPFLD LOC
6394P IL CATERPILLAR
787412 IL HEALTHLINK
CD7143 IL RR MEDICARE GROUP
130434 IL HEALTH ALLIANCE

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FAQs about David M Beatty

What is the unique 10-digit identification code issued to David M Beatty by the Centers for Medicare & Medicaid Services?

The David M Beatty has been assigned the NPI (National Provider Identifier) 1568471274 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where David M Beatty is located?

The David M Beatty is situated at the following address: 2901 Old Jacksonville Rd, Springfield, IL, 627047437.

What is David M Beatty's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for David M Beatty is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1568471274 to David M Beatty?

The David M Beatty received its 1568471274 assignment from the Centers for Medicare & Medicaid Services on 2006-08-05.

As of what date were the details pertaining to David M Beatty last refreshed?

The information related to the David M Beatty, including its address, specialty, and other relevant details, was last updated on 2011-12-16.

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