Michael L Beach, MD
Individual provider Active NPI Anesthesiology Physician · Lebanon, NH
NPI 1477596476 · NPPES record last updated Sep 23, 2011
Key facts
- NPI
- 1477596476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 9269 (NH)
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-1000 - Phone
- (603) 650-6823
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 9269 | NH | Yes |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0RE3340 | Medicaid | VT | |
| 80003340 | Medicaid | NH |
Other providers in Lebanon, NH
- Jessica J Baughman
- Melissa Baughman
- Richard D Baughman
- Wendy E Bayles Dazet
- Jocelyn Michelle Beach
- Constance Beal
- Emily Morgan Bearse
- Ralph Donald Beasley
- Karen Elisabeth Beaty
- Gerard Robert Beaudry
All providers in Lebanon, NH · Anesthesiology Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.