MCB Medical

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MCB MEDICAL

Practice address

1502 Pemberton Dr Unit D
Salisbury, MD 21801

Phone

(949) 696-6157

NPI assigned

Apr 23, 2024

Organization subpart

No

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

Authorized official

Name

Michael Beavers, DO

Title

Owner

Phone

(949) 696-6157

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1144075904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8678 SPUR LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "21601",
            "telephone_number": "949-696-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 PEMBERTON DR UNIT D",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "949-696-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCB MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "BEAVERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-696-6157",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren M MC Govern, MD
• Ellen Bucher McAllen, P.T.
• McAp Salisbury LLC
• Alexandra Laura McArdle, OTR/L
• Diane Carol McAvoy, PA-C
• Alexis McBean
• Jill Kristen McCabe, OT
• Kevin A McCabe, PAC
• Michael John McCabe, MD
• Carol McCall, LGSW

• Anesthesiology Physician in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.