Active NPI
Wayne Lee Beaver, MD
- Cardiovascular Disease Physician
- Columbus, OH
National Provider Identifier
1184611170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35043307
- Practice address
- 777 W State St
Suite 302
Columbus, OH 43222-1536 - Phone
- (614) 221-2299
- Fax
- (614) 221-7458
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35043307 | OH | Primary |
Addresses
Primary practice location
777 W State St
Suite 302
Columbus, OH 43222-1536
Mailing address
777 W State St
Suite 302
Columbus, OH 43222-1536
Phone (614) 221-2299
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000216704 | Other | OH | ANTHEM BCBS |
| 0429530 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35043307 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Care Unlimited LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Interventional Cardiology Physician
- Hilliard, OH
- NPI 1881723963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1184611170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 W STATE ST",
"address_2": "SUITE 302",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221536",
"telephone_number": "614-221-2299",
"fax_number": "614-221-7458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 W STATE ST",
"address_2": "SUITE 302",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221536",
"telephone_number": "614-221-2299",
"fax_number": "614-221-7458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAVER",
"first_name": "WAYNE",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35043307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000216704",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0429530",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.