Joseph H Beaven, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOSEPH H BEAVEN, MD

Practice address

9431 County Road 403
Charlestown, IN 47111-8946

Phone

(812) 256-6391

Fax

(812) 256-6050

NPI assigned

Aug 27, 2006

Last updated

Sep 26, 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

Dr. Joseph Herman Beaven, MDNPI 1619963105

Title

MD

Phone

(812) 256-6391

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIDHCA

Practitioners 5

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.

• Joseph Herman Beaven, M.D.

  • Internal Medicine Physician
  • Charlestown, IN
  • NPI 1619963105
  Authorized official Same address or phone
• Catherine Coomer, ARNP-C

  • Family Nurse Practitioner
  • Charlestown, IN
  • NPI 1851379887
  NPD
• Jeremy Lee Wilt, NP

  • Family Nurse Practitioner
  • Charlestown, IN
  • NPI 1043689672
  NPD
• Brittany Ann Winsor, APRN

  • Family Nurse Practitioner
  • Charlestown, IN
  • NPI 1447803721

  Single Specialty

  NPD
• Victoria Ruth Moreland, APRN,MSN,FNP-C

  • Nurse Practitioner
  • Carlsbad, NM
  • NPI 1982056073
  NPD (past)

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632614400000",
    "number": "1275641573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 COUNTY ROAD 403",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471118946",
            "telephone_number": "812-256-6391",
            "fax_number": "812-256-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 COUNTY ROAD 403",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471118946",
            "telephone_number": "812-256-6391",
            "fax_number": "812-256-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH H BEAVEN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A",
        "authorized_official_last_name": "BEAVEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "812-256-6391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "180443",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300036095",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Isaacs, PHARM.D., R.PH.
• Jimmy Floyd Sharp
• Janna Marie Johnson, FNP-C
• Leslie Johnson, ATC
• Casey Jones
• Shefali A Kapadia, M.D.
• Sandra Lane Kapso, NP
• Sara Elizabeth Key, LMHC
• Audriana Nicole Kidwell, CMA
• Tony Kyungsoo Kim, D.C.

• Internal Medicine Physician in Charlestown, IN
• Providers in Charlestown, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.