Individual provider Active NPI

Beta Jo Hamon, MD

  • Emergency Medicine Physician
  • Tahlequah, OK
National Provider Identifier
1376553040
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34222 Issued in OK
Practice address
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone
(918) 458-3100
NPI assigned
Aug 8, 2006
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34222 OK Primary
Emergency Medicine Physician 207P00000X 80191 MN
Family Medicine Physician 207Q00000X 37530 IA
Family Medicine Physician 207Q00000X MD23845 OR

Addresses

Primary practice location

100 S Bliss Ave
Tahlequah, OK 74464-2512

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other practice location 1

1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone (218) 847-5611

Other practice location 2

803 S Greene St
Rock Rapids, IA 51246-1948
Phone (712) 472-3716

Other identifiers 1

IdentifierTypeStateIssuer
286349MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, TX, OK, MN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20071219000004 IA Practitioner - Family Practice 8224026349 Reassigns benefits to 6 organizations
I20191112001298 TX Practitioner - Family PracticePractitioner - Emergency Medicine 8224026349 Reassigns benefits to 4 organizations
I20200320000830 OK Practitioner - Family Practice 8224026349 Reassigns benefits to 2 organizations
I20250923002776 MN Practitioner - Emergency Medicine 8224026349

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Medical University of South Carolina College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Specialty PhysiciansGroup PAC ID 6305901927, 59 clinicians
City of BrookingsGroup PAC ID 1052307105, shared by 9 NPIs, 112 clinicians
St Anthony Regional Hospital and Nursing HomeGroup PAC ID 4688586829, shared by 8 NPIs, 49 clinicians

Practice addresses (Care Compare)

2201 W Lampasas St
Ennis, TX 75119-5644
Phone (972) 875-0900

300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351

405 S Clark St
Suite 100
Carroll, IA 51401-3047
Phone (712) 792-2222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34222OKMDEmergency Medicine Physician
37530IAMDFamily Medicine Physician
MD23845ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Earth Indian Health Center CurrentSince Jul 26, 2021 Accepting new patients
Sanford Health Network Current Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Jul 27, 2020 Accepting new patients
Department of Health & Human Services PHS IHS CurrentSince Jan 25, 2022 Accepting new patients
Rosebud Indian Health Service CurrentSince Feb 21, 2024 Accepting new patients
Spencer Municipal Hospital CurrentSince Apr 24, 2020 Accepting new patients
Jefferson County Hospital Family Medicine CurrentSince Jun 12, 2024 Accepting new patients
Spencer Municipal Hospital CurrentSince Apr 24, 2020 Accepting new patients
Sanford Health Network Family Medicine CurrentSince Jan 30, 2013 Accepting new patients
Dilkon Medical Center Current Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Jefferson County Hospital CurrentSince Jul 25, 2025 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Jul 27, 2020 Accepting new patients
Hospital Care Consultants Region II Inc CurrentSince Mar 1, 2020 Accepting new patients
Sanford Health Network CurrentSince Jan 30, 2013 Accepting new patients
St Mary's Regional Health Center Family Medicine CurrentSince Aug 21, 2025 Accepting new patients
St. Marys Regional Health Center Current Accepting new patients
Pine Point Health Station Current Accepting new patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
Naytahwaush Health Center CurrentSince Jul 26, 2021 Accepting new patients
Rosebud Indian Health Service CurrentSince Feb 21, 2024 Accepting new patients
St Anthony Regional Hospital and Nursing Home Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Jefferson County Hospital CurrentSince Jun 12, 2024 Accepting new patients
St Mary's Regional Health Center CurrentSince Aug 21, 2025 Accepting new patients
Hospital Care Consultants, Inc Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Family Medical Center P C Family Medicine Past Accepting new patients
Laura a. Schweger, PC Past Accepting new patients
Jefferson County Hospital Past Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients

Locations

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

500 Indiana Ave
Winslow, AZ 86047

405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500

1820 4th Ave S
Denison, IA 51442
Phone (712) 263-6116

2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204

2000B S Main St
Fairfield, IA 52556
Phone (641) 472-4156

104 Buncombe Dr
Rock Rapids, IA 51246
Phone (712) 472-3333

118 N 7th Ave
Sheldon, IA 51201
Phone (712) 324-5041

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

350 E Devon Ave
Itasca, IL 60143

425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200

1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-4300

40520 County Highway 34
#C
Ogema, MN 56569
Phone (218) 983-4300

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

213 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 774-1100

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

Organizations & group practices 31

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

View all 31

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1376553040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585",
            "fax_number": "605-328-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BLISS AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642512",
            "telephone_number": "918-458-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit Lakes",
            "state": "MN",
            "postal_code": "565013409",
            "country_code": "US",
            "telephone_number": "218-847-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 S Greene St",
            "address_purpose": "LOCATION",
            "city": "Rock Rapids",
            "state": "IA",
            "postal_code": "512461948",
            "country_code": "US",
            "telephone_number": "712-472-3716",
            "fax_number": "712-472-2878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMON",
        "first_name": "BETA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "34222",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "80191",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "37530",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD23845",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286349",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.