Organization Active NPI

Stephen M. Beene, MD, Apmc

  • Specialist
  • Monroe, LA
National Provider Identifier
1114042967
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
020444 Issued in LA
Legal business name
STEPHEN M. BEENE, MD, APMC
Practice address
1863 Avenue of America
Monroe, LA 71201-4529
Phone
(318) 340-6233
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen Michael Beene, MD
Title
Ceo Owner
Phone
(318) 340-6233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 020444 LA Primary

Addresses

Primary practice location

1863 Avenue of America
Monroe, LA 71201-4529

Mailing address

1863 Avenue of America
Monroe, LA 71201-4529
Phone (318) 340-6233

Other identifiers 1

IdentifierTypeStateIssuer
1931101MedicaidLA

National Provider Directory

National Provider Directory

Locations

1863 Avenue of America
Monroe, LA 71201
Phone (318) 340-6233

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114042967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1863 AVENUE OF AMERICA",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014529",
            "telephone_number": "318-340-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1863 AVENUE OF AMERICA",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014529",
            "telephone_number": "318-340-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M. BEENE, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEENE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "318-340-6233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "020444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1931101",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.