M. David Beitle, M.D., Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD09135 Issued in RI

Legal business name

M. DAVID BEITLE, M.D., INC

Practice address

695 Eddy St
Providence, RI 02903-4941

Phone

(401) 274-1533

Fax

(401) 369-7210

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. M. David Beitle, M.D.

Title

President

Phone

(401) 274-1533

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael David Beitle, M.D.

  • Obstetrics & Gynecology Physician
  • Providence, RI
  • NPI 1659318392
  Medicare reassignment NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114045697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-274-1533",
            "fax_number": "401-369-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034941",
            "telephone_number": "401-274-1533",
            "fax_number": "401-369-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. DAVID BEITLE, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEITLE",
        "authorized_official_first_name": "M. DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-274-1533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD09135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lee Lyon, AU.D, CCC/A, F-AAA
• Edward Lyons, APRN,BC
• Kristin E Lyons, MSW
• Rachel Lyons, NP
• Xiuhong Lyu, MD
• Zeina Wajdi Maani, M.D.
• Kylie Lynn Mabbett, MS OTRL
• Nancy Mabry Stachiw, BCBA
• Brian Cormac Mac Grory, M.D.
• Johannah Macbeth

• Obstetrics & Gynecology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Obstetrics & Gynecology Physician in Rhode Island

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.