Individual provider Active NPI

Thomas Franklin Beaman, D.O.

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1548358955
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS6084 Issued in FL
Practice address
1290 S Missouri Ave
Suite B
Clearwater, FL 33756-9183
Phone
(727) 462-0225
Fax
(727) 446-1421
NPI assigned
Oct 11, 2006
Last updated
Sep 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS6084 FL Primary

Addresses

Primary practice location

1290 S Missouri Ave
Suite B
Clearwater, FL 33756-9183

Mailing address

13716 Eagles Walk Dr
Clearwater, FL 33762-5583
Phone (727) 432-1217

Other identifiers 1

IdentifierTypeStateIssuer
055894000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20080514000829 FL Practitioner - Internal Medicine 9931278108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1290 S Missouri Ave
Clearwater, FL 33756-9183
Phone (727) 462-0225

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6084FLMDOptometrist
OS6084FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas F Beaman DO PA Internal Medicine CurrentSince Apr 1, 2008 Accepting new patients

Locations

1290 S Missouri Ave
Clearwater, FL 33756
Phone (727) 462-0225

1290 S Missouri Ave
Ste B
Clearwater, FL 33756
Phone (727) 462-0225

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1548358955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13716 EAGLES WALK DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625583",
            "telephone_number": "727-432-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 S MISSOURI AVE",
            "address_2": "SUITE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337569183",
            "telephone_number": "727-462-0225",
            "fax_number": "727-446-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMAN",
        "first_name": "THOMAS",
        "middle_name": "FRANKLIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS6084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055894000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.