Allison J Beitel, MD

Key facts

NPI

1346359015

Entity type

Individual (NPI type 1)

Primary specialty

Pediatrics Physician 208000000X

License

042105 (CT)

Practice address

97 Barnes Road
Suite 6
Wallingford, CT 06492

Phone

(203) 265-9890

Fax

(203) 265-3321

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allison J Beitel, MD PLCC Pediatrics Physician · Cheshire, CT · NPI 1689503294
  NPD Authorized official PEDIATRICS
• Pediatric Medicine of Wallingford LLP Pediatrics Physician · Wallingford, CT · NPI 1619004975
  NPD (past) PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346359015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 BARNES ROAD",
            "address_2": "SUITE 6",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-265-9890",
            "fax_number": "203-265-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 BARNES ROAD",
            "address_2": "SUITE 6",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-265-9890",
            "fax_number": "203-265-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITEL",
        "first_name": "ALLISON",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "042105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Wallingford, CT · Pediatrics Physician in Connecticut