Active NPI
Ronald William Beckel Jr., M.D.
- Pediatrics Physician
- Mena, AR
National Provider Identifier
1487629317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E-0796
- Practice address
- 1102 Crestwood Cir
Mena, AR 71953-5513 - Phone
- (479) 394-7301
- Fax
- (479) 394-7160
- NPI assigned
- Feb 22, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E-0796 | AR | Primary |
Addresses
Primary practice location
1102 Crestwood Cir
Mena, AR 71953-5513
Mailing address
1102 Crestwood Cir
Mena, AR 71953-5513
Phone (479) 394-7301
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390979 | Other | AR | HEALTHLINK |
| 5K150 | Other | AR | BCBS PROVIDER # |
| 100186060 A | Other | OKLAHOMA HEALTH CARE AUTHORITY | |
| P03700 | Other | AR | NOVASYS |
| 129708001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-0796 | AR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1487629317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 CRESTWOOD CIR",
"city": "MENA",
"state": "AR",
"postal_code": "719535513",
"telephone_number": "479-394-7301",
"fax_number": "479-394-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 CRESTWOOD CIR",
"city": "MENA",
"state": "AR",
"postal_code": "719535513",
"telephone_number": "479-394-7301",
"fax_number": "479-394-7160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKEL",
"first_name": "RONALD",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E-0796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "390979",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "5K150",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA HEALTH CARE AUTHORITY",
"identifier": "100186060 A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVASYS",
"identifier": "P03700",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129708001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mena, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.