Jasper Family Physicians PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

50003215A Issued in IN

Legal business name

JASPER FAMILY PHYSICIANS PC

Practice address

1950 Saint Charles St
Suite 4
Jasper, IN 47546-9172

Phone

(812) 482-9555

Fax

(812) 482-9073

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dean E. Beckman, M.D.

Title

President/Owner

Phone

(812) 482-9555

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1023033909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SAINT CHARLES ST",
            "address_2": "SUITE 4",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462254",
            "telephone_number": "812-482-9555",
            "fax_number": "812-482-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SAINT CHARLES ST",
            "address_2": "SUITE 4",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469172",
            "telephone_number": "812-482-9555",
            "fax_number": "812-482-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER FAMILY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "BECKMAN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "812-482-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "50003215A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000182798",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100110790A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Jasper, IN
• Providers in Jasper, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.