Active NPI
David L Beaton, D.O.
- Obstetrics & Gynecology Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS004805L
- Practice address
- 4000 Sterrettania Rd
Erie, PA 16506-4125 - Phone
- (814) 835-6640
- Fax
- (814) 835-6649
- NPI assigned
- Apr 19, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS004805L | PA | Primary |
Addresses
Primary practice location
4000 Sterrettania Rd
Erie, PA 16506-4125
Mailing address
1 Lecom PL
Erie, PA 16505-2571
Other practice location 1
5401 Peach St
Suite 3100
Erie, PA 16509-2601
Phone (814) 868-7830
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010421680006 | Medicaid | PA | |
| 0010421680015 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS004805L | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millcreek Community Hospital | Current | Accepting new patients | |
| Millcreek Community Hospital | Current | Accepting new patients |
Locations
2625 Parade St
Erie, PA 16504
Phone (814) 452-6383
4000 Sterrettania Rd
Uppr
Erie, PA 16506
Phone (814) 835-6640
5401 Peach St
Erie, PA 16509
Phone (814) 868-2170
5515 Peach St
Erie, PA 16509
Phone (814) 864-4031
5401 Peach St
Ste 3100
Erie, PA 16509
Phone (814) 868-7830
4000 Sterrettania Rd
Erie, PA 16506
Phone (814) 833-2846
Interoperability endpoints
- dbeaton@maoeim-pa.direct.office.nextgen.com
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.
-
- Family Medicine Physician
- Erie, PA
- NPI 1578198941
-
- General Acute Care Hospital
- Erie, PA
- NPI 1548263973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1376508572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LECOM PL",
"city": "ERIE",
"state": "PA",
"postal_code": "165052571",
"fax_number": "814-868-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 STERRETTANIA RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165064125",
"telephone_number": "814-835-6640",
"fax_number": "814-835-6649"
}
],
"practiceLocations": [
{
"address_1": "5401 Peach St",
"address_2": "Suite 3100",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165092601",
"country_code": "US",
"telephone_number": "814-868-7830",
"fax_number": "814-868-2139",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEATON",
"first_name": "DAVID",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "OS004805L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010421680006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010421680015",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.