Ward G Becker, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

MD016864E Issued in PA

Practice address

67 Ivy League Dr
Kutztown, PA 19530-9206

Phone

(610) 683-5762

Fax

(610) 683-5219

NPI assigned

May 10, 2006

Last updated

Jul 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Heim Staff Physicians, Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Leesport, PA
  • NPI 1831217314
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1174573406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W HAMILTON ST",
            "address_2": "SUITE 100B",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046459",
            "telephone_number": "610-973-1410",
            "fax_number": "610-973-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 IVY LEAGUE DR",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195309206",
            "telephone_number": "610-683-5762",
            "fax_number": "610-683-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "WARD",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD016864E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02539500",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "103500",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006393940003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "380001467",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Jane Anderson, ATC
• Susan Angelisanti, M.D.
• Sonia Babar, FNP-C
• Jacqueline Baraciarte
• Laura Bauder, ATR-BC, LPC, CAADC
• Better Place Therapeutic Services Inc.
• Holly Marie Biggs, MS, LAT, ATC
• Bio-Medical Applications of Pennsylvania, Inc. (FMC Dialysis Services of Kutztown)
• James Calvin Blankenhorn, D.M.D.
• John Patrick Boyle, D.M.D.

• Geriatric Medicine (Internal Medicine) Physician in Kutztown, PA
• Providers in Kutztown, PA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.