Active NPI
Jason R Beckrow DO PC
- Hematology & Oncology Physician
- St Joseph, MI
National Provider Identifier
1194077149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 5101014627
- Legal business name
- JASON R BECKROW DO PC
- Practice address
- 431 Upton Dr
St Joseph, MI 49085-1058 - Phone
- (269) 932-2268
- NPI assigned
- Oct 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason R Beckrow, DO
- Title
- Owner
- Phone
- (269) 932-2268
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 5101014627 | MI | |
| Hematology & Oncology Physician | 207RH0003X | 5101014627 | MI | Primary |
Addresses
Primary practice location
431 Upton Dr
St Joseph, MI 49085-1058
Mailing address
5089 Deerwood Trail
Stevensville, MI 49127-9106
Phone (269) 932-2268
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350259200000",
"number": "1194077149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5089 DEERWOOD TRAIL",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491279106",
"telephone_number": "269-932-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 UPTON DR",
"city": "ST JOSEPH",
"state": "MI",
"postal_code": "490851058",
"telephone_number": "269-932-2268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON R BECKROW DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-15",
"last_updated": "2012-10-15",
"status": "A",
"authorized_official_last_name": "BECKROW",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "269-932-2268",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "MI",
"license": "5101014627",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": "5101014627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.