Active NPI
George Christian Beuttell, PA-C
- Physician Assistant
- Clinton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0006677
- Practice address
- 7503 Surratts Rd
Clinton, MD 20735-3358 - Phone
- (855) 633-0205
- NPI assigned
- Sep 21, 2017
- Last updated
- Mar 17, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0006677 | MD | Primary |
Addresses
Primary practice location
7503 Surratts Rd
Clinton, MD 20735-3358
Mailing address
PO Box 418283
Boston, MA 02241-6859
Phone (703) 558-1544
Other practice location 1
850 John Carlyle Street #536
Alexandria, VA 22314
Phone (772) 532-9500
Other practice location 2
850 John Carlyle Street #536
Alexandria, VA 22314
Phone (772) 532-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0006677 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WHC Emerg Phys | Current | Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Vero Beach, FL
- NPI 1760996300
-
dba Washington Hospital Center Physicians
- Neurological Surgery Physician
- Washington, DC
- NPI 1407870124
-
- General Practice Physician
- Washington, DC
- NPI 1700154226
-
- General Practice Physician
- Washington, DC
- NPI 1629394424
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1306260625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1467961409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 418283",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416859",
"telephone_number": "703-558-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7503 SURRATTS RD",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353358",
"telephone_number": "855-633-0205"
}
],
"practiceLocations": [
{
"address_1": "850 John Carlyle Street #536",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "22314",
"country_code": "US",
"telephone_number": "772-532-9500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 John Carlyle Street #536",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "22314",
"country_code": "US",
"telephone_number": "772-532-9500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEUTTELL",
"first_name": "GEORGE",
"middle_name": "CHRISTIAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0006677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.