Active NPI
Joseph T. Beahan, D.O.
- Family Medicine Physician
- Perry, MO
National Provider Identifier
1255317228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R3N97
- Practice address
- 1223 E Main St
Perry, MO 63462-1410 - Phone
- (573) 565-2213
- Fax
- (573) 565-3517
- NPI assigned
- Dec 21, 2005
- Last updated
- Dec 5, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R3N97 | MO | Primary |
Addresses
Primary practice location
1223 E Main St
Perry, MO 63462-1410
Mailing address
PO Box 409
Perry, MO 63462-0409
Phone (573) 565-2213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242871309 | Medicaid | MO |
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 Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1255317228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 409",
"city": "PERRY",
"state": "MO",
"postal_code": "634620409",
"telephone_number": "573-565-2213",
"fax_number": "573-565-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 E MAIN ST",
"city": "PERRY",
"state": "MO",
"postal_code": "634621410",
"telephone_number": "573-565-2213",
"fax_number": "573-565-3517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAHAN",
"first_name": "JOSEPH",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R3N97",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242871309",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Perry, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.