Active NPI
William Wilson Beckett, M.D.
- Orthopaedic Surgery Physician
- Columbia, MO
National Provider Identifier
1295728830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 34569
- Practice address
- 1 S Keene St
Columbia, MO 65201-7199 - Phone
- (573) 443-2402
- Fax
- (573) 443-0574
- NPI assigned
- Aug 30, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 34569 | MO | Primary |
Addresses
Primary practice location
1 S Keene St
Columbia, MO 65201-7199
Mailing address
1 S Keene St
P.O. Box O
Columbia, MO 65201-7199
Phone (573) 443-2402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207282500 | 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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1295728830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S KEENE ST",
"address_2": "P.O. BOX O",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652017199",
"telephone_number": "573-443-2402",
"fax_number": "573-443-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S KEENE ST",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652017199",
"telephone_number": "573-443-2402",
"fax_number": "573-443-0574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKETT",
"first_name": "WILLIAM",
"middle_name": "WILSON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "34569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207282500",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.