NPIMap

Individual provider Active NPI

Marjorie Eden Beams, MD

  • Family Medicine Physician
  • Portsmouth, NH
National Provider Identifier
1144640202
Registry record updated Nov 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19113 Issued in NH
Practice address
100 Campus Dr Ste 100
Portsmouth, NH 03801-5892
Phone
(603) 422-8208
NPI assigned
Apr 16, 2014
Last updated
Nov 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 19113 NH Primary

Addresses

Primary practice location

100 Campus Dr Ste 100
Portsmouth, NH 03801-5892

Mailing address

100 Campus Dr Ste 100
Portsmouth, NH 03801-5892
Phone (603) 422-8208

Other practice location 1

501 W 14th St
Wilmington, DE 19801-1013
Phone (302) 733-1042

Other names 1

  • Marjorie Eden Childs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710000072 MA Practitioner - Preventive MedicinePractitioner - Family Practice 6002033263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Family Medical Center, LLCGroup PAC ID 8729431226, 10 clinicians

Practice addresses (Care Compare)

1 Wallace Bashaw Way
Suite 1002
Newburyport, MA 01950-3876
Phone (978) 255-2612

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19113NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Family Medical Center LLC CurrentSince Apr 30, 2024 Accepting new patients

Locations

1 Wallace Bashaw Way
Newburyport, MA 01950
Phone (888) 298-8127

1 Wallace Bashaw Way
Ste 1002
Newburyport, MA 01950
Phone (978) 255-2612

Interoperability endpoints

  • Direct secure messaging: marjorie.beams.3@30018.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541894400000",
    "number": "1144640202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR STE 100",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015892",
            "telephone_number": "603-422-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR STE 100",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015892",
            "telephone_number": "603-422-8208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W 14th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011013",
            "country_code": "US",
            "telephone_number": "302-733-1042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAMS",
        "first_name": "MARJORIE",
        "middle_name": "EDEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2018-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "19113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARJORIE",
            "last_name": "CHILDS",
            "middle_name": "EDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.