Mark Edward Beaugard, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD018467E Issued in PA

Practice address

520 Maple Ave
Suite 1
West Chester, PA 19380-4434

Phone

(610) 692-0800

Fax

(610) 692-8299

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1013092519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "address_2": "SUITE 1",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804434",
            "telephone_number": "610-692-0800",
            "fax_number": "610-692-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "address_2": "SUITE 1",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804434",
            "telephone_number": "610-692-0800",
            "fax_number": "610-692-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUGARD",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD018467E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7209230000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Thomas Bayley III, D.M.D.
• Robert Thomas Bayley IV, DMD
• Sinehan Burcu Bayrak, M.D.
• Jeanne Beachler
• Blake Thomas Beasley, PA-C
• Kimberly G Beazley, RD, CDE
• Sarah Beck, CLD
• Joseph D. Becker, DO
• Patricia Reiter Becker, CRNP
• Allison Beer, LCSW

• Otolaryngology Physician in West Chester, PA
• Providers in West Chester, PA by specialty
• Otolaryngology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.