Active NPI
John R. Beck, M.D.
- Emergency Medicine Physician
- Saint Louis, MO
National Provider Identifier
1083686158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 105823
- Practice address
- 11123 S Towne SQ
Ste. E
Saint Louis, MO 63123-7816 - Phone
- (314) 487-4537
- NPI assigned
- Feb 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 36087806 | IL | |
| Emergency Medicine Physician | 207P00000X | 105823 | MO | Primary |
Addresses
Primary practice location
11123 S Towne SQ
Ste. E
Saint Louis, MO 63123-7816
Mailing address
834 State St
Chester, IL 62233-1640
Phone (314) 771-3153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061018000057 | IL | Practitioner - Family Practice | 3678579489 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36087806 | IL | MD | Emergency Medicine Physician |
| 105823 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crawford Hospital District | Current | Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients |
Locations
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131
Organizations & group practices 4
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 CMH Specialty Clinic-Newton
- Urology Physician
- Newton, IL
- NPI 1265309405
-
dba Crawford Memorial Hospital and Health Services
- Critical Access Hospital
- Robinson, IL
- NPI 1265493720
-
dba Crawford Memorial Hospital
- Internal Medicine Physician
- Robinson, IL
- NPI 1861423287
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1083686158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 STATE ST",
"city": "CHESTER",
"state": "IL",
"postal_code": "622331640",
"telephone_number": "314-771-3153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11123 S TOWNE SQ",
"address_2": "STE. E",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631237816",
"telephone_number": "314-487-4537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "JOHN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "36087806",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "105823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.