Joseph a Beardsley MD Professional Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

01031707A Issued in IN

Legal business name

JOSEPH A BEARDSLEY MD PROFESSIONAL CORP

Practice address

1777 W Stones Crossing Rd Ste 1
Greenwood, IN 46143-7899

Phone

(317) 346-5480

NPI assigned

Jan 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Joseph A Beardlsey, M.D.

Title

President

Phone

(317) 346-5480

Specialties & licenses 1

Addresses

Other names 1

• Joseph A Beardsley MD Doing business as

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1114265238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 W STONES CROSSING RD STE 1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437899",
            "telephone_number": "317-346-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 W STONES CROSSING RD STE 1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437899",
            "telephone_number": "317-346-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A BEARDSLEY MD PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "BEARDLSEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-346-5480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01031707A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph A Beardsley MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ta-Kisha Jones, MBA, CHES, CHWC
• Tamparey Jones
• William Terry Jones, M.D.
• Aniya Nichole Jordan
• Julie Jordan, RBT
• JS DME Supplies LLC
• Urvashi Juneja, MHS
• Benjamin J Justice, MD
• Eugene Stanley Justus, D.O.
• Victoria Grace Kacsits, CF-SLP

• Specialist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.