Evan W Beale MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

P2955 Issued in TX

Legal business name

EVAN W BEALE MD PA

Practice address

7777 Forest LN
Suite B-116
Dallas, TX 75230-2571

Phone

(972) 566-3001

Fax

(972) 566-3401

NPI assigned

Feb 11, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Evan Wareing Beale, M.D.NPI 1568666493

Title

Medical Director/President

Phone

(972) 566-3001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan W. Beale, M.D.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Dallas, TX
  • NPI 1568666493
  Medicare reassignment Care Compare group NPD Authorized official
• Blake Stearns, PC-C

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1780053488
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1306205992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-3001",
            "fax_number": "972-566-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B-116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-3001",
            "fax_number": "972-566-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN W BEALE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "BEALE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "WAREING",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "972-566-3001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "P2955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Eustace, RD LD
• Leah Howard Eustace, M.A. CCC-SLP
• Kyle Jay Euteneier, PHARM D
• Rebecca L. Euwer, M.D.
• Evan L. Shrago, MD, PA
• Krishna Priya Evani
• Alyssa Evans, LPC
• Amanda Lee Evans, CRNA
• Amanda Suarez Evans, M.D.
• Amy Elizabeth Evans, PA-C

• Plastic Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.