Active NPI
William Edward Beatie, MD
- Specialist
- Philadelphia, PA
National Provider Identifier
1215124599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D41048
- Practice address
- 2301 E Allegheny Ave
Dept. of Orthopedic & Sports Medicine
Philadelphia, PA 19134-4427 - Phone
- (215) 291-3777
- Fax
- (215) 291-3776
- NPI assigned
- Oct 1, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | D41048 | MD | Primary |
Addresses
Primary practice location
2301 E Allegheny Ave
Dept. of Orthopedic & Sports Medicine
Philadelphia, PA 19134-4427
Mailing address
3425 N Carlisle St
2ND Floor Hudson Building
Philadelphia, PA 19140-5108
Phone (215) 707-8561
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D41048 | MD | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207526400000",
"number": "1215124599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 N CARLISLE ST",
"address_2": "2ND FLOOR HUDSON BUILDING",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405108",
"telephone_number": "215-707-8561",
"fax_number": "215-707-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 E ALLEGHENY AVE",
"address_2": "DEPT. OF ORTHOPEDIC & SPORTS MEDICINE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191344427",
"telephone_number": "215-291-3777",
"fax_number": "215-291-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATIE",
"first_name": "WILLIAM",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-01",
"last_updated": "2008-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D41048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.