John E Beavers, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18578 Issued in OK

Practice address

7530 NW 23Rd St
Bethany, OK 73008-4921

Phone

(405) 730-6990

Fax

(405) 703-3116

NPI assigned

Jan 31, 2006

Last updated

May 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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 1

Specialty

Pediatric MedicineAlso: Family Practice

Education

University of Oklahoma College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Your Health LLCGroup PAC ID 3870922008, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232

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.

• Your Health LLC

  dba Your Health & Wellness

  • Family Medicine Physician
  • Moore, OK
  • NPI 1396385431
  Medicare reassignment Care Compare group NPD
• Mercy Hospital Logan County Inc

  • Critical Access Hospital
  • Guthrie, OK
  • NPI 1306126818
  Medicare reassignment NPD
• Mercy Hospital Logan County, Inc

  dba Mercy Hospital Logan County Guthrie Division Primary Care

  • Rural Health Clinic/Center
  • Guthrie, OK
  • NPI 1184905507
  NPD
• Mercy Hospital Logan County, Inc

  dba Mercy Hospital Logan County Crescent Primary Care

  • Rural Health Clinic/Center
  • Crescent, OK
  • NPI 1659652071
  NPD
• Aky MD, LLC

  dba Just Kids Pediatrics

  • Pediatrics Physician
  • Moore, OK
  • NPI 1063846699
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1386615839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 892410",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731892410",
            "telephone_number": "405-735-9348",
            "fax_number": "405-703-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084921",
            "telephone_number": "405-730-6990",
            "fax_number": "405-703-3116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731605833",
            "country_code": "US",
            "telephone_number": "405-730-6990",
            "fax_number": "405-703-3116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "18578",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "18578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Maria Bautista-Gutierrez, MD
• Kaitlyn Baxter, PT
• Bdafok, LLC
• Pamela Beard
• Alfred Marion Beasler III, MHS PA-C
• Jamie Beck, PT
• Bryan D Bell, MINT
• Monica Benear, M.S.,CCC-SLP
• Hillary Ann Bennett, PA-C
• Antonia Angeline Benton, REGISTERED NURSE

• Family Medicine Physician in Bethany, OK
• Providers in Bethany, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.