Active NPI
Stephen Smyth Beebe, MD FACP
- Pediatric Adolescent Medicine Physician
- Gainesville, FL
National Provider Identifier
1003892910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- ME81992
- Practice address
- 6440 W Newberry Rd
#402
Gainesville, FL 32605-4381 - Phone
- (352) 333-5500
- Fax
- (352) 333-5506
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | ME81992 | FL | Primary |
Addresses
Primary practice location
6440 W Newberry Rd
#402
Gainesville, FL 32605-4381
Mailing address
6440 W Newberry Rd
#402
Gainesville, FL 32605-4381
Phone (352) 333-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teton Valley Health Care Inc | Current | Accepting new patients | |
| Teton Valley Health Care Inc | Current | Accepting new patients | |
| Teton Valley Health Care, Inc | Current | Accepting new patients | |
| Teton Valley Health Care Inc | Current | Accepting new patients | |
| Just 4 Kids Health LLC | Pediatrics | Past | Accepting new patients |
| Medical Imaging Associates of Idaho Falls, Inc | Past | Accepting new patients | |
| Just 4 Kids Health LLC | Pediatrics | Past | Accepting new patients |
| Gainesville Pediatric Associates Inc | Pediatrics | Past | Accepting new patients |
Locations
120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302
283 N 1st St
Driggs, ID 83422
Phone (208) 354-2302
Interoperability endpoints
- stephen.beebe.1@15468.direct.athenahealth.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Teton Valley Health Care
- Critical Access Hospital
- Driggs, ID
- NPI 1477809622
-
- Family Medicine Physician
- Driggs, ID
- NPI 1316294531
-
dba Teton Valley Health Care Swing Bed Unit
- Medicare Defined Swing Bed Hospital Unit
- Driggs, ID
- NPI 1053669598
-
- Pediatrics Physician
- Gainesville, FL
- NPI 1710050596
-
dba Just 4 Kids Urgent Care
- Urgent Care Clinic/Center
- Idaho Falls, ID
- NPI 1043722259
Pediatrics
-
- Diagnostic Radiology Physician
- Pocatello, ID
- NPI 1740225531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1003892910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6440 W NEWBERRY RD",
"address_2": "#402",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054381",
"telephone_number": "352-333-5500",
"fax_number": "352-333-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6440 W NEWBERRY RD",
"address_2": "#402",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054381",
"telephone_number": "352-333-5500",
"fax_number": "352-333-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEEBE",
"first_name": "STEPHEN",
"middle_name": "SMYTH",
"credential": "MD FACP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "FL",
"license": "ME81992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.