Donna Beallis D.O. P.a.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

E-5626 Issued in AR

Legal business name

DONNA BEALLIS D.O. P.A.

Practice address

153 E Monte Painter Dr
Fayetteville, AR 72703-4002

Phone

(479) 444-2200

Fax

(479) 444-2390

NPI assigned

Nov 16, 2009

Last updated

Oct 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Donna B Beallis, D.O.NPI 1669423125

Title

Owner

Phone

(479) 806-0647

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donna Berryman Beallis, DO

  • Adult Medicine Physician
  • Springdale, AR
  • NPI 1669423125
  Authorized official Same address or phone

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1184951998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11134",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171134",
            "telephone_number": "479-285-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E MONTE PAINTER DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034002",
            "telephone_number": "479-444-2200",
            "fax_number": "479-444-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA BEALLIS D.O. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "BEALLIS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-806-0647",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AR",
            "license": "E-5626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip G Doerner III, D.O.
• Cassandra Marie Dominick, LPC
• Lindy Dawn Domke
• Kayla Lashae Donald, COTA
• Daniel Mosen Dong
• Donna M Van Kirk Edd PLLC
• Janelle Lanee Douglas, PHARM. D
• Lisa Renae Douglas, MHPP
• Diedra Dourth, PHARMD
• Ashley Nicole Dover, MS, CCC/SLP

• Adult Medicine Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Adult Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.