John W Beasley, MD
Individual provider Active NPI Family Medicine Physician · Verona, WI
NPI 1124089420 · NPPES record last updated Jan 26, 2009
Key facts
- NPI
- 1124089420
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 18352 (WI)
- Practice address
- 100 N Nine Mounds Rd
Verona, WI 53593 - Phone
- (608) 845-9531
- Fax
- (608) 845-5954
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18352 | WI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients |
Locations
229 S Morrison St
Appleton, WI 54911
Phone (920) 832-2783
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
100 N Nine Mound Rd
Verona, WI 53593
Phone (608) 845-9531
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18352 | WI | Yes |
Addresses
Primary practice location
100 N Nine Mounds Rd
Verona, WI 53593
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Phone (608) 829-5485
Other providers in Verona, WI
- Samantha Gallo Barbour
- Cassandra Bartelt
- Sara C Bartlett
- Ryan Bauer
- Brooke Bayer
- Tabitha Jade Beckwith
- Danielle Marie Bentley
- Tonya S Benz
- Sarah Mattison Berndt
- David Alan Besley
All providers in Verona, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.