Jeffrey K Beall MD LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

35992 Issued in NV

Legal business name

JEFFREY K BEALL MD LLC

Practice address

75 Pringle Way
Suite 509
Reno, NV 89502-1464

Phone

(775) 358-4007

Fax

(775) 358-4405

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Adriane J Haight, DO

Title

Office Manager

Phone

(775) 358-4007

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1093879645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 509",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021469",
            "telephone_number": "775-358-4007",
            "fax_number": "775-358-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY",
            "address_2": "SUITE 509",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021464",
            "telephone_number": "775-358-4007",
            "fax_number": "775-358-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY K BEALL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "HAIGHT",
        "authorized_official_first_name": "ADRIANE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "775-358-4007",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NV",
            "license": "35992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Chen, MD PLLC
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• Jeffrey D. Ferris, O.D., P.C.
• Jeffrey M. Lilyhorn D.D.S., P.C.
• Jeffrey P Bacon
• Jeffrey Zollinger D O PC
• Jordan Jegge
• James Charles Jempsa, D.O.

• Otolaryngology Physician in Reno, NV
• Providers in Reno, NV by specialty
• Otolaryngology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.